KA-LISHA MAE SIMONS MD
NPI 1386209856
Psychiatry & Neurology - Psychiatry in Statesville, NC

Q: What is Ka-lisha Simons's NPI number?

The NPI number for Ka-lisha Simons is 1386209856. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Q: What is Ka-lisha Simons's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Ka-lisha Simons was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since May 09, 2019PECOS Enrolled

1450 FERN CREEK DR, STATESVILLE, NC 28625(704) 818-9191(704) 872-3782 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2024, May 9, 2019 (2 updates tracked since 2019).

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About Ka-lisha Mae Simons Md NPPES

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

KA-LISHA MAE SIMONS MD (NPI 1386209856) is an individual psychiatry provider in Statesville, North Carolina, licensed in North Carolina (2024-00805) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386209856

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKA-LISHA MAE SIMONSCredential: MD

Location Address1450 FERN CREEK DRStatesville, NC 28625-9376

Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1900

Phone(704) 818-9191

Fax(704) 872-3782

Sole ProprietorNo

Enumeration DateMay 9, 2019

Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration

NPPES CertifiedOctober 31, 2024

✔ NPI 1386209856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NC · 2024-00805✔ Licensed in NJ · 25MA11444800

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1450 FERN CREEK DR, Statesville, NC 28625

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ka-lisha Mae Simons Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28625 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 10

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

KATHERINE ASHE ROETHLING LCSWA

Social Worker (Clinical)