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MRS. CALEIGH M SIMON NP-C, MSN
NPI 1154723039
Nurse Practitioner - Family in Mauldin, SC

Active since September 22, 2014PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
224 E BUTLER RD, MAULDIN, SC 29662(866) 389-2727 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2023, Mar 28, 2023, Oct 16, 2020 and 1 more (4 updates tracked since 2018).

About Mrs. Caleigh M Simon Np-c, Msn NPPES

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

MRS. CALEIGH M SIMON NP-C, MSN (NPI 1154723039) is an individual family provider in Mauldin, South Carolina, licensed in South Carolina (27198) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1154723039
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CALEIGH M SIMONCredential: NP-C, MSN
Location Address224 E BUTLER RDMauldin, SC 29662-2129
Mailing Address224 E Butler RdMauldin, SC 29662-2129 · (866) 389-2727
Phone(866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 22, 2014
Last NPPES UpdateFebruary 19, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1154723039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in SC · 27198✔ Licensed in TN · 18895
Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X · License 18895 (TN)
224 E BUTLER RD, Mauldin, SC 29662
Open in Google Maps ↗

Other Names 1

Former Name (1)Caleigh M Van Nortwick Np

Secondary Practice Locations 4

Location 19137 Middlebrook PikeKnoxville, TN 37923-1425 · Phone (865) 670-0591
Location 210800 Parkside Dr Ste 202Knoxville, TN 37934 · Phone (865) 218-7463
Location 36005 Kingston PikeKnoxville, TN 37919-6346 · Phone (865) 588-5156
Location 43901 Pelham RdGreenville, SC 29615-5004 · Phone (866) 389-2727

Other Identifiers 1

MedicaidQ009046TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.Insurance ›

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

Mrs. Caleigh M Simon Np-c, Msn 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 ID5395068357
PECOS Enrollment IDI20230517002089
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 Reassignments

4

Medicare enrollment records show Caleigh Simon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic Diagnostic South Carolina LLC
5.8 mi
Family
698 FAIRVIEW RD
Simpsonville, SC 29680
  • Reassigned Medicare billing, South Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1447420815 (866) 389-2727
Minuteclinic Primary Care South Carolina LLC
5.8 mi
Family
698 FAIRVIEW RD
Simpsonville, SC 29680
  • Reassigned Medicare billing, South Carolina enrollment
  • 112 clinicians in this Medicare group
NPI 1548070071 (866) 389-2727
Tranquility Sleep Specialists Plc
130 mi
Sleep Medicine
7557 DANNAHER DR STE 240
Powell, TN 37849
  • Reassigned Medicare billing, Tennessee enrollment
  • 9 clinicians in this Medicare group
NPI 1346543568 (865) 859-7800
Minuteclinic Video Virtual Care, PLLC
768 mi
Family
1 CVS DR
Woonsocket, RI 02895
  • Reassigned Medicare billing, South Carolina enrollment
  • 114 clinicians in this Medicare group
NPI 1316402746 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
36 services32 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.
21 services21 patients
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.
12 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
11 services11 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29662 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.67
Improvement Activities40
Cost94.58

Referred Medical Equipment & Supplies CMS DME claims 11

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers70 claims70 services$31.74 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers39 claims39 services$73.33 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers44 claims122 services$29.92 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers35 claims207 services$13.93 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers33 claims193 services$14.05 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers53 claims53 services$49.25 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 4

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

MS. JUDITH ANN DAWSON-WEISS CNP
Nurse Practitioner (Family)
224 E BUTLER RD
MAULDIN, SC 29662
Greenville County (864) 234-1282
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy
224 E BUTLER RD
MAULDIN, SC 29662
Greenville County (864) 234-1282
SARA ELIZABETH BARE APN
Nurse Practitioner (Family)
224 E BUTLER RD
MAULDIN, SC 29662
Greenville County (864) 288-1847
ALLISON KINGSLAND
Nurse Practitioner (Family)
224 E BUTLER RD
MAULDIN, SC 29662
Greenville County (864) 234-1282

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 Caleigh Simon's NPI number?

The NPI number for Caleigh Simon is 1154723039. It was assigned to this individual provider in the NPPES registry on September 22, 2014. The provider is also known as Caleigh M Van Nortwick Np.

Where is Caleigh Simon located?

Caleigh Simon practices at 224 E Butler Rd, Mauldin, SC 29662. The listed phone number is (866) 389-2727.

What is Caleigh Simon's specialty?

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

Is Caleigh Simon enrolled in Medicare?

Yes. Caleigh 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.

Which organizations bill Medicare for Caleigh Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleigh Simon reassigns Medicare benefits to 4 organizations: Minuteclinic Diagnostic South Carolina LLC (Simpsonville, SC), Minuteclinic Primary Care South Carolina LLC (Simpsonville, SC), Tranquility Sleep Specialists Plc (Powell, TN) and Minuteclinic Video Virtual Care, PLLC (Woonsocket, RI). 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 Caleigh Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caleigh Simon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Caleigh 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 Caleigh Simon was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.