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CRISANTA ANTOINETTE SIMON MD
NPI 1154052363
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Active since June 19, 2022PECOS Enrolled
56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-6000 Get Directions Write a Review

NPPES record last updated: June 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crisanta Antoinette Simon Md NPPES

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

CRISANTA ANTOINETTE SIMON MD (NPI 1154052363) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154052363
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCRISANTA ANTOINETTE SIMONCredential: MD
Location Address56 FRANKLIN STWaterbury, CT 06706-1253
Mailing Address248 Spring St Apt 10Naugatuck, CT 06770-2951 · (443) 557-8513
Phone(203) 709-6000
Sole ProprietorNo
Enumeration DateJune 19, 2022
NPPES CertifiedJune 19, 2022
✔ NPI 1154052363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
56 FRANKLIN ST, Waterbury, CT 06706
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crisanta Antoinette Simon Md 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.

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.

CHARIS WIPFLER
Nurse Practitioner (Critical Care Medicine)
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (860) 709-6140
SHANZAY HAIDER M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-8685
DENISSE BURGOS-JIMENEZ
Physician Assistant (Medical)
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (860) 989-6067
SYED FARHAN IQBAL RIZVI M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-8820
YAEL MARITZA CALLE
Nurse Practitioner
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (516) 993-0460
DR. JOSEPH D SCUDERI M.D.
Internal Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6000
MAPLE EMERGENCY PHYSICIANS, LLC
Emergency Medicine
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (469) 401-2386
MIGUEL ANGEL BRAVO JR. MD
Student in an Organized Health Care Education/Training Program
56 FRANKLIN ST
WATERBURY, CT 06706
Naugatuck Valley Planning Region (203) 709-6479

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 Crisanta Simon's NPI number?

The NPI number for Crisanta Simon is 1154052363. It was assigned to this individual provider in the NPPES registry on June 19, 2022.

Where is Crisanta Simon located?

Crisanta Simon practices at 56 Franklin St, Waterbury, CT 06706. The listed phone number is (203) 709-6000.

What is Crisanta Simon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Crisanta Simon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Crisanta Simon was last updated on June 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.