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RUTANYA SIMON
NPI 1215367651
Social Worker - Clinical in Tulsa, OK

Active since November 21, 2013PECOS EnrolledAccepts Medicare Assignment
3604 N MARTIN LUTHER KING JR BLVD, TULSA, OK 74106(918) 425-4200(918) 425-4202 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rutanya Simon NPPES

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

RUTANYA SIMON (NPI 1215367651) is an individual clinical provider in Tulsa, Oklahoma, licensed in Texas (110220) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1215367651
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRUTANYA SIMON
Location Address3604 N MARTIN LUTHER KING JR BLVDTulsa, OK 74106-6447
Mailing Address650 S Peoria AveTulsa, OK 74120-4429 · (918) 587-9471 · Fax (918) 560-1399
Phone(918) 425-4200
Fax(918) 425-4202
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 21, 2013
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1215367651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TX · 110220✔ Licensed in RI · ISW04100
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
3604 N MARTIN LUTHER KING JR BLVD, Tulsa, OK 74106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Rutanya Simon 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 ID42656803
PECOS Enrollment IDI20240314003553
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 Reassignment

Medicare enrollment records show Rutanya Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mccd Fl Psychiatry Services PA
923 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Texas enrollment
  • 240 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255

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 74106 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
$0.00 typical visit price
range $53.00 – $162.61
Typical copayment $0.00 (range $13.25 – $40.65)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
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

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

ANDREA CARROLL
Student in an Organized Health Care Education/Training Program
3604 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
Tulsa County (918) 425-4200

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 Rutanya Simon's NPI number?

The NPI number for Rutanya Simon is 1215367651. It was assigned to this individual provider in the NPPES registry on November 21, 2013.

Where is Rutanya Simon located?

Rutanya Simon practices at 3604 N Martin Luther King Jr Blvd, Tulsa, OK 74106. The listed phone number is (918) 425-4200.

What is Rutanya Simon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Rutanya Simon enrolled in Medicare?

Yes. Rutanya 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 organization bills Medicare for Rutanya Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rutanya Simon reassigns Medicare benefits to Mccd Fl Psychiatry Services PA (Jacksonville, FL). 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 Rutanya Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rutanya Simon accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Cigna Healthcare and Harvard Pilgrim Health Care and 3 other insurers list Rutanya 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 Rutanya Simon was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.