1. Home
  2. Directory
  3. South Dakota
  4. Groton
  5. Nurse Practitioner
  6. NPI Profile

SHARON E SIMON CNP
NPI 1235409426
Nurse Practitioner in Groton, SD

Active since January 05, 2012PECOS EnrolledAccepts Medicare Assignment
8 E US HIGHWAY 12, SUITE 2, GROTON, SD 57445(605) 397-4242(605) 397-4243 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sharon E Simon Cnp NPPES

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

SHARON E SIMON CNP (NPI 1235409426) is an individual nurse practitioner in Groton, South Dakota, licensed in South Dakota (CP000691) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235409426
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHARON E SIMONCredential: CNP
Location Address8 E US HIGHWAY 12, SUITE 2Groton, SD 57445-2176
Mailing AddressPo Box 1460Aberdeen, SD 57402-1460 · (605) 622-2857 · Fax (605) 622-2859
Phone(605) 397-4242
Fax(605) 397-4243
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 5, 2012
Last NPPES UpdateMay 3, 2016
✔ NPI 1235409426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP000691
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8 E US HIGHWAY 12, Groton, SD 57445
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Wellmark of South Dakota, Inc..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

Sharon E Simon Cnp 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 ID4880851310
PECOS Enrollment IDI20120210000181
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 Sharon Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avera St Luke's
5.7 mi
Family Medicine
8 E US HIGHWAY 12
Groton, SD 57445
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Lukes
  • 259 clinicians in this Medicare group
NPI 1306031976 (605) 397-4242

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 2

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.
143 services94 patients
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.
56 services55 patients

Hospital Affiliations CMS Care Compare

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57445 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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

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

AVERA ST LUKE'S
Family Medicine
8 E US HIGHWAY 12
GROTON, SD 57445
Brown County (605) 397-4242

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 Sharon Simon's NPI number?

The NPI number for Sharon Simon is 1235409426. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Sharon Simon located?

Sharon Simon practices at 8 E Us Highway 12 Suite 2, Groton, SD 57445. The listed phone number is (605) 397-4242.

What is Sharon Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sharon Simon enrolled in Medicare?

Yes. Sharon 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 Sharon Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Simon reassigns Medicare benefits to Avera St Luke's (Groton, SD). 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 Sharon Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Simon accept?

Health plans from Avera Health Plans and Wellmark of South Dakota, Inc. list Sharon 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 Sharon Simon affiliated with any hospitals?

According to CMS data, Sharon Simon is affiliated with Avera St Lukes.

When was this NPI record last updated?

The NPPES record for Sharon Simon was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.