SIMONE EASTERBROOK DO
NPI 1194306878
Family Medicine in Santa Rosa, CA
About Simone Easterbrook Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMONE EASTERBROOK DO (NPI 1194306878) is an individual family medicine provider in Santa Rosa, California, licensed in California (21144) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2021).
NPPES Registry Identity
Specialties & Licenses
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
Simone Easterbrook Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Simone Easterbrook reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 95407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95407
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 Simone Easterbrook's NPI number?
The NPI number for Simone Easterbrook is 1194306878. It was assigned to this individual provider in the NPPES registry on April 15, 2021.
Where is Simone Easterbrook located?
Simone Easterbrook practices at 2240 Mercury Way, Santa Rosa, CA 95407. The listed phone number is (707) 657-3142.
What is Simone Easterbrook's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Simone Easterbrook enrolled in Medicare?
Yes. Simone Easterbrook 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 organization bills Medicare for Simone Easterbrook's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simone Easterbrook reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). 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 Simone Easterbrook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Simone Easterbrook was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Simone Easterbrook, DO · NPI 1194306878
Family Medicine physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since April 15, 2021.
## Identity
- **NPI:** 1194306878 (Entity type: Individual)
- **Enumerated:** April 15, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 21144 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2240 MERCURY WAY, Santa Rosa, CA 95407-5413
- **Phone:** (707) 657-3142
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un College Of Osteopathic Medicine, Vallejo, class of 2021
## Record status
- **NPPES last updated:** November 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194306878) · Data from the CMS NPPES public registry.