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BARBARA L SIMON NP
NPI 1104854322
Nurse Practitioner in Beaumont, TX

Active since June 28, 2006PECOS Enrolled
490 IH 10 N STE 100, BEAUMONT, TX 77702(409) 212-9988(409) 832-1664 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2024, May 10, 2017 (2 updates tracked since 2017).

About Barbara L Simon Np NPPES

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

BARBARA L SIMON NP (NPI 1104854322) is an individual nurse practitioner in Beaumont, Texas, licensed in Texas (AP111818) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104854322
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBARBARA L SIMONCredential: NP
Location Address490 IH 10 N STE 100Beaumont, TX 77702-1819
Mailing AddressPo Box 7410Beaumont, TX 77726-7410 · (409) 835-2112 · Fax (409) 839-8988
Phone(409) 212-9988
Fax(409) 832-1664
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1104854322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP111818
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP111818 (TX)
490 IH 10 N STE 100, Beaumont, TX 77702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Barbara L Simon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Barbara Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Topcare Medical Group Inc
250 mi
Specialist
12377 MERIT DR STE 300
Dallas, TX 75251
  • Reassigned Medicare billing, Texas enrollment
  • 114 clinicians in this Medicare group
NPI 1730337163 (972) 957-3000

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 77702 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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.

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.

JENNIFER VANDEHOEF FNP-C
Nurse Practitioner
490 IH 10 N STE 100
BEAUMONT, TX 77702
Jefferson County (409) 212-9988
CHERYL SMITH NP-C
Nurse Practitioner (Family)
490 IH 10 N STE 100
BEAUMONT, TX 77702
Jefferson County (409) 886-4242
MS. TRICIA LOIS BULLARD MSN RN CPNP
Nurse Practitioner (Pediatrics)
490 IH 10 N STE 100
BEAUMONT, TX 77702
Jefferson County (409) 212-9988
ASHLEY HAAS-KOELKER PA
Physician Assistant
490 IH 10 N STE 100
BEAUMONT, TX 77702
Jefferson County (409) 212-9988
MS. YAMILETT MENDEZ PA
Physician Assistant
490 IH 10 N STE 100
BEAUMONT, TX 77702
Jefferson County (409) 212-9988

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 Barbara Simon's NPI number?

The NPI number for Barbara Simon is 1104854322. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Barbara Simon located?

Barbara Simon practices at 490 Ih 10 N Ste 100, Beaumont, TX 77702. The listed phone number is (409) 212-9988.

What is Barbara Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Barbara Simon enrolled in Medicare?

Yes. Barbara Simon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Barbara Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Simon reassigns Medicare benefits to Topcare Medical Group Inc (Dallas, TX). The 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 Barbara Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Simon accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Barbara 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.

When was this NPI record last updated?

The NPPES record for Barbara Simon was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.