DR. JENA MARIE SIMON DNP
NPI 1356652341
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since June 24, 2010Opted out of Medicare · through Jan 1, 2027
80 5TH AVE OFC 903-10, NEW YORK, NY 10011(347) 707-7735 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2024, Aug 7, 2023, Apr 14, 2023 and 1 more (4 updates tracked since 2023).

About Dr. Jena Marie Simon Dnp NPPES

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

DR. JENA MARIE SIMON DNP (NPI 1356652341) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (404817) and active in the NPI registry since June 2010. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356652341
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. JENA MARIE SIMONCredential: DNP
Location Address80 5TH AVE OFC 903-10New York, NY 10011-8002
Mailing Address56 Lincoln AveArdsley, NY 10502-2416 · (917) 912-2946
Sole ProprietorNo
Enumeration DateJune 24, 2010
Last NPPES UpdateMay 7, 20244 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1356652341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NY · 404817 Licensed in MA · RN2331839 Licensed in VA · 24189470 Licensed in WA · AP61508873 Licensed in MD · R265902
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN2331839 (MA), 24189470 (VA), R265902 (MD), AP61508873 (WA), 336355 (NY)
80 5TH AVE OFC 903-10, New York, NY 10011

Other Names 1

Former Name (1)Jena Marie Srivastava Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jena Marie Simon Dnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 6

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

Nurse Practitioner (Psychiatric/Mental Health)
80 5TH AVE OFC 903-10
NEW YORK, NY 10011
Nurse Practitioner (Psychiatric/Mental Health)
80 5TH AVE OFC 903-10
NEW YORK, NY 10011
Nurse Practitioner (Psychiatric/Mental Health)
80 5TH AVE OFC 903-10
NEW YORK, NY 10011
Nurse Practitioner (Family)
80 5TH AVE OFC 903-10
NEW YORK, NY 10011
Nurse Practitioner (Psychiatric/Mental Health)
80 5TH AVE OFC 903-10
NEW YORK, NY 10011
Nurse Practitioner (Psychiatric/Mental Health)
80 5TH AVE OFC 903-10
NEW YORK, NY 10011

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 Jena Simon's NPI number?

The NPI number for Jena Simon is 1356652341. It was assigned to this individual provider in the NPPES registry on June 24, 2010. The provider is also known as Jena Marie Srivastava Np.

Where is Jena Simon located?

Jena Simon practices at 80 5th Ave Ofc 903-10, New York, NY 10011. The listed phone number is (347) 707-7735.

What is Jena Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jena Simon enrolled in Medicare?

No. Jena Simon has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jena Simon was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.