NELLIE SIMON DNP
NPI 1104375922
Nurse Practitioner - Family in West Des Moines, IA

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
1525 GRAND AVE, WEST DES MOINES, IA 50265(515) 226-0112(515) 223-0422 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2020, Sep 24, 2019, Dec 26, 2018 and 1 more (4 updates tracked since 2016).

About Nellie Simon Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NELLIE SIMON DNP (NPI 1104375922) is an individual family provider in West Des Moines, Iowa, licensed in Iowa (A143864) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104375922
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNELLIE SIMONCredential: DNP
Location Address1525 GRAND AVEWest Des Moines, IA 50265-3412
Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 226-0112 · Fax (515) 223-0422
Fax(515) 223-0422
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 22, 2016
Last NPPES UpdateApril 23, 20254 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
NPI 1104375922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IA · A143864
1525 GRAND AVE, West Des Moines, IA 50265

Other Names 1

Former Name (1)Nellie Grace Young

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nellie Simon Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173801859
PECOS Enrollment IDI20161101000242
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
349 services137 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
229 services122 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
131 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services81 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
86 services86 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
84 services56 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers28 claims82 services$5.97 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$184.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1525 GRAND AVE
WEST DES MOINES, IA 50265
Family Medicine
1525 GRAND AVE
WEST DES MOINES, IA 50265
Nurse Practitioner (Family)
1525 GRAND AVE
WEST DES MOINES, IA 50265
Physician Assistant
1525 GRAND AVE
WEST DES MOINES, IA 50265
Clinic/Center
1525 GRAND AVE
WEST DES MOINES INES, IA 50265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nellie Simon's NPI number?

The NPI number for Nellie Simon is 1104375922. It was assigned to this individual provider in the NPPES registry on September 22, 2016. The provider is also known as Nellie Grace Young.

Where is Nellie Simon located?

Nellie Simon practices at 1525 Grand Ave, West Des Moines, IA 50265. The listed phone number is (515) 226-0112.

What is Nellie Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nellie Simon enrolled in Medicare?

Yes. Nellie Simon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nellie Simon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Nellie Simon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nellie Simon affiliated with any hospitals?

According to CMS data, Nellie Simon is affiliated with Mercyone Des Moines Medical Center.

When was this NPI record last updated?

The NPPES record for Nellie Simon was last updated on April 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.