SIMONE EASTERBROOK DO
NPI 1194306878
Family Medicine in Santa Rosa, CA

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
2240 MERCURY WAY, SANTA ROSA, CA 95407(707) 657-3142 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2024, Apr 15, 2021 (2 updates tracked since 2021).

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

NPI1194306878
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSIMONE EASTERBROOKCredential: DO
Location Address2240 MERCURY WAYSanta Rosa, CA 95407-5413
Mailing Address2240 Mercury WaySanta Rosa, CA 95407-5413
Sole ProprietorNo
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2021
Enumeration DateApril 15, 2021
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1194306878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 21144
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2240 MERCURY WAY, Santa Rosa, CA 95407

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

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.

PECOS PAC ID749660397
PECOS Enrollment IDI20241126000792
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.

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.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Family Medicine
2240 MERCURY WAY
SANTA ROSA, CA 95407
Internal Medicine
2240 MERCURY WAY
SANTA ROSA, CA 95407
Pharmacy (Community/Retail Pharmacy)
2240 MERCURY WAY, FL 1 MOB 6
SANTA ROSA, CA 95407
Podiatrist
2240 MERCURY WAY
SANTA ROSA, CA 95407
Family Medicine
2240 MERCURY WAY
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.

When was this NPI record last updated?

The NPPES record for Simone Easterbrook was last updated on November 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.