SAM SIMON CRNP
NPI 1326769399
Registered Nurse - Psychiatric/Mental Health, Adult in Philadelphia, PA
About Sam Simon Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM SIMON CRNP (NPI 1326769399) is an individual psychiatric/mental health, adult provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN675125) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sam Simon Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sam Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19131
- Reassigned Medicare billing, Pennsylvania enrollment
- 52 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19131
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 Sam Simon's NPI number?
The NPI number for Sam Simon is 1326769399. It was assigned to this individual provider in the NPPES registry on September 8, 2022.
Where is Sam Simon located?
Sam Simon practices at 4200 Monument Road Outpatient Building, Philadelphia, PA 19131. The listed phone number is (215) 877-2000.
What is Sam Simon's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.
Is Sam Simon enrolled in Medicare?
Yes. Sam Simon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sam Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sam Simon reassigns Medicare benefits to Belmont Behavioral Hospital, LLC (Philadelphia, PA). 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 Sam Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sam Simon was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sam Simon, CRNP · NPI 1326769399
Psychiatric/Mental Health, Adult provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 8, 2022.
## Identity
- **NPI:** 1326769399 (Entity type: Individual)
- **Enumerated:** September 8, 2022
- **Primary specialty:** Registered Nurse - Psychiatric/Mental Health, Adult · taxonomy 163WP0809X
- **State license:** RN675125 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4200 MONUMENT ROAD, OUTPATIENT BUILDING, Philadelphia, PA 19131-1689
- **Phone:** (215) 877-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Belmont Behavioral Hospital, LLC (NPI 1629468137, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1326769399) · Data from the CMS NPPES public registry.