NICOLE ELIZABETH SIMON PA-C
NPI 1356830160
Physician Assistant in Grand Rapids, MI

Active since May 07, 2018PECOS EnrolledAccepts Medicare Assignment
1900 WEALTHY ST SE STE 200, GRAND RAPIDS, MI 49506(616) 774-0276 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2024, Apr 15, 2019, May 7, 2018 (3 updates tracked since 2018).

About Nicole Elizabeth Simon Pa-c NPPES

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

NICOLE ELIZABETH SIMON PA-C (NPI 1356830160) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601008583) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356830160
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ELIZABETH SIMONCredential: PA-C
Location Address1900 WEALTHY ST SE STE 200Grand Rapids, MI 49506-2969
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 7, 2018
Last NPPES UpdateNovember 11, 20243 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
NPI 1356830160 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 MI · 5601008583
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.

1900 WEALTHY ST SE STE 200, Grand Rapids, MI 49506

Other Names 1

Former Name (1)Nicole Elizabeth Schafer Pa-c

Accepted Insurance

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

Nicole Elizabeth Simon 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 ID547525883
PECOS Enrollment IDI20180607001141
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.

Hospital Affiliations CMS Care Compare 5

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Internal Medicine
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Nurse Practitioner (Family)
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Nurse Practitioner
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Internal Medicine
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Internal Medicine
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Nurse Practitioner (Family)
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Nurse Practitioner
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506
Internal Medicine
1900 WEALTHY ST SE STE 200
GRAND RAPIDS, MI 49506

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 Nicole Simon's NPI number?

The NPI number for Nicole Simon is 1356830160. It was assigned to this individual provider in the NPPES registry on May 7, 2018. The provider is also known as Nicole Elizabeth Schafer Pa-C.

Where is Nicole Simon located?

Nicole Simon practices at 1900 Wealthy St SE Ste 200, Grand Rapids, MI 49506. The listed phone number is (616) 774-0276.

What is Nicole Simon's specialty?

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

Is Nicole Simon enrolled in Medicare?

Yes. Nicole 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.

What insurance does Nicole Simon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Nicole 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 Nicole Simon affiliated with any hospitals?

According to CMS data, Nicole Simon is affiliated with Spectrum Health, Corewell Health Big Rapids Hospital, Corewell Health Ludington Hospital, Corewell Health Gerber Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Simon was last updated on November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.