SIMONE EVERETT HOLLAND CNM, MSN, WHNP-BC
NPI 1104572007
Advanced Practice Midwife in San Diego, CA
About Simone Everett Holland Cnm, Msn, Whnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMONE EVERETT HOLLAND CNM, MSN, WHNP-BC (NPI 1104572007) is an individual advanced practice midwife in San Diego, California, licensed in California (236263) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Simone Everett Holland Cnm, Msn, Whnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Simone Holland reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92102
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Mission Viejo, CA 92691
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92102
SAN DIEGO, CA 92102
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 Simone Holland's NPI number?
The NPI number for Simone Holland is 1104572007. It was assigned to this individual provider in the NPPES registry on March 1, 2022. The provider is also known as Simone Everett Tolmie Cnm.
Where is Simone Holland located?
Simone Holland practices at 823 Gateway Center Way, San Diego, CA 92102. The listed phone number is (619) 515-2300.
What is Simone Holland's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Simone Holland enrolled in Medicare?
Yes. Simone Holland 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.
Which organizations bill Medicare for Simone Holland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simone Holland reassigns Medicare benefits to 2 organizations: Family Health Centers Of San Diego, Inc. (San Diego, CA) and Providence Medical Foundation (Mission Viejo, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Simone Holland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Simone Holland was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Simone Everett Holland, CNM, MSN, WHNP-BC · NPI 1104572007
Advanced Practice Midwife physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 1, 2022.
## Identity
- **NPI:** 1104572007 (Entity type: Individual)
- **Enumerated:** March 1, 2022
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 236263 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 823 GATEWAY CENTER WAY, San Diego, CA 92102-4541
- **Phone:** (619) 515-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Family Health Centers Of San Diego, Inc. (NPI 1174560585, San Diego, CA); Providence Medical Foundation (NPI 1427305960, Mission Viejo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104572007) · Data from the CMS NPPES public registry.