ALYSSA NICOLE SIMON
NPI 1255960555
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 07, 2020PECOS Enrolled
1 MEDICAL CENTER BLVD 7TH FLOOR, WINSTON SALEM, NC 27157(336) 716-2011 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alyssa Nicole Simon NPPES

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

ALYSSA NICOLE SIMON (NPI 1255960555) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2020).

NPPES Registry Identity

NPI1255960555
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALYSSA NICOLE SIMON
Location Address1 MEDICAL CENTER BLVD 7TH FLOORWinston Salem, NC 27157-0001
Mailing Address13 Palmer DrLuling, LA 70070-3128 · (504) 723-9246
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2020
Enumeration DateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1255960555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MEDICAL CENTER BLVD 7TH FLOOR, Winston Salem, NC 27157

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Nicole Simon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204258577
PECOS Enrollment IDI20260901003670
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 Reassignments

2

Medicare enrollment records show Alyssa Simon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Cardiovascular Disease
2150 COUNTRY CLUB RD
Winston Salem, NC 27104
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Wake Forest Health Network LLC
  • 583 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.

Other Providers at the Same Location NPPES 3

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

Pharmacist (Cardiology)
1 MEDICAL CENTER BLVD 7TH FLOOR
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD 7TH FLOOR
WINSTON SALEM, NC 27157
Genetic Counselor, MS
1 MEDICAL CENTER BLVD 7TH FLOOR
WINSTON SALEM, NC 27157

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 Alyssa Simon's NPI number?

The NPI number for Alyssa Simon is 1255960555. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Alyssa Simon located?

Alyssa Simon practices at 1 Medical Center Blvd 7th Floor, Winston Salem, NC 27157. The listed phone number is (336) 716-2011.

What is Alyssa Simon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alyssa Simon enrolled in Medicare?

Yes. Alyssa Simon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alyssa Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Simon reassigns Medicare benefits to 2 organizations: Wake Forest University Health Sciences (Winston Salem, NC) and Cornerstone Health Care PA (Winston Salem, NC). Each 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 Alyssa Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Simon accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Alyssa 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 Alyssa Simon was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.