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JESSALYN JADE SIMO PA-C
NPI 1295559425
Physician Assistant in Staten Island, NY

Active since November 13, 2024PECOS EnrolledAccepts Medicare Assignment
1 CAMPUS RD, STATEN ISLAND, NY 10301(718) 390-3100 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessalyn Jade Simo Pa-c NPPES

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

JESSALYN JADE SIMO PA-C (NPI 1295559425) is an individual physician assistant in Staten Island, New York, licensed in New York (032364) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295559425
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSALYN JADE SIMOCredential: PA-C
Location Address1 CAMPUS RDStaten Island, NY 10301-4479
Mailing Address1 Campus RdStaten Island, NY 10301-4479
Phone(718) 390-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1295559425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 032364
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 CAMPUS RD, Staten Island, NY 10301
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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

Jessalyn Jade Simo Pa-c 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 ID547785826
PECOS Enrollment IDI20250418001778
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 10301 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

SAMANTHA SIGNORILE
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 390-3100
MS. KAITLYN ISOLDE ROSS PA
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 420-4151
KRISTINA MARIE GIAKAS PA-C
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 420-4160
FAIZ ABED
Physician Assistant (Surgical)
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 619-1995
STEVEN F LEONE PA
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 420-4160
MATHUSHAN MOHANAROOBAN PHYSICIAN ASSISTANT
Physician Assistant (Surgical)
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 420-4151
ANTONIA MARIE GRECO PA-C
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 663-1078
JONATHAN TWIGGS
Physician Assistant (Medical)
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (917) 608-1474

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 Jessalyn Simo's NPI number?

The NPI number for Jessalyn Simo is 1295559425. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Jessalyn Simo located?

Jessalyn Simo practices at 1 Campus Rd, Staten Island, NY 10301. The listed phone number is (718) 390-3100.

What is Jessalyn Simo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessalyn Simo enrolled in Medicare?

Yes. Jessalyn Simo 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 Jessalyn Simo was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.