MISS AMY SIMON NP
NPI 1104581867
Nurse Practitioner - Family in East Stroudsburg, PA

Active since November 07, 2021PECOS EnrolledAccepts Medicare Assignment
79.45/100
CMS Quality Rating
200 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 476-3700 Get Directions Write a Review

NPPES record last updated: November 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Amy Simon Np NPPES

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

MISS AMY SIMON NP (NPI 1104581867) is an individual family provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP023677) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Pocono, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104581867
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS AMY SIMONCredential: NP
Location Address200 E BROWN STEast Stroudsburg, PA 18301-3006
Mailing Address200 E Brown StEast Stroudsburg, PA 18301-3006 · (973) 590-8152
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 7, 2021
NPPES CertifiedNovember 7, 2021
NPI 1104581867 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 PA · SP023677
200 E BROWN ST, East Stroudsburg, PA 18301

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

Miss Amy Simon Np 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 ID1052702099
PECOS Enrollment IDI20211229001369
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 4

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 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.
151 services141 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
56 services56 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services24 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.12
Promoting Interoperability86
Improvement Activities40
Cost60.65

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.

Pediatrics
200 E BROWN ST, POCONO KIDS PEDIATRICS
E STROUDSBURG, PA 18301
Dentist
200 E BROWN ST, POCONO KIDS DENTAL CARE
E STROUDSBURG, PA 18301
Surgery
200 E BROWN ST
EAST STROUDSBURG, PA 18301
Orthopaedic Surgery
200 E BROWN ST
EAST STROUDSBURG, PA 18301
Nurse Practitioner (Family)
200 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Surgical)
200 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Surgical)
200 E BROWN ST, PMC PHYSICIAN ASSOCIATES GENERAL SURGERY
EAST STROUDSBURG, PA 18301
Surgery (Plastic and Reconstructive Surgery)
200 E BROWN ST, SUITE B
E STROUDSBURG, PA 18301

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 Amy Simon's NPI number?

The NPI number for Amy Simon is 1104581867. It was assigned to this individual provider in the NPPES registry on November 7, 2021.

Where is Amy Simon located?

Amy Simon practices at 200 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 476-3700.

What is Amy Simon's specialty?

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

Is Amy Simon enrolled in Medicare?

Yes. Amy 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.

Is Amy Simon affiliated with any hospitals?

According to CMS data, Amy Simon is affiliated with Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Amy Simon was last updated on November 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.