KORAL BEN-SIMON APRN
NPI 1174080477
Nurse Practitioner - Family in South Windsor, CT

Active since February 23, 2019PECOS EnrolledAccepts Medicare Assignment
70 BUCKLAND RD, SOUTH WINDSOR, CT 06074(860) 648-0707 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2022, Oct 1, 2019, Feb 23, 2019 (3 updates tracked since 2019).

About Koral Ben-simon Aprn NPPES

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

KORAL BEN-SIMON APRN (NPI 1174080477) is an individual family provider in South Windsor, Connecticut, licensed in Connecticut (8110) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Baystate Noble Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174080477
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKORAL BEN-SIMONCredential: APRN
Location Address70 BUCKLAND RDSouth Windsor, CT 06074-3702
Mailing Address49 Steep RdSouth Windsor, CT 06074-1339 · (914) 462-8444
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 23, 2019
Last NPPES UpdateJanuary 10, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
NPI 1174080477 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 CT · 8110
70 BUCKLAND RD, South Windsor, CT 06074

Accepted Insurance

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

Koral Ben-simon Aprn 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 ID9335489947
PECOS Enrollment IDI20190319000400
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.

Hospital Affiliations CMS Care Compare 3

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

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06074 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers33 claims33 services$180.33 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

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

Physician Assistant
70 BUCKLAND RD, SUITE E
SOUTH WINDSOR, CT 06074

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 Koral Ben-simon's NPI number?

The NPI number for Koral Ben-simon is 1174080477. It was assigned to this individual provider in the NPPES registry on February 23, 2019.

Where is Koral Ben-simon located?

Koral Ben-simon practices at 70 Buckland Rd, South Windsor, CT 06074. The listed phone number is (860) 648-0707.

What is Koral Ben-simon's specialty?

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

Is Koral Ben-simon enrolled in Medicare?

Yes. Koral Ben-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.

What insurance does Koral Ben-simon accept?

Health plans from Anthem Blue Cross and Blue Shield list Koral Ben-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.

Is Koral Ben-simon affiliated with any hospitals?

According to CMS data, Koral Ben-simon is affiliated with Baystate Noble Hospital, Mercy Medical Ctr and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Koral Ben-simon was last updated on January 10, 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.