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FRANTZ MERVEILLEUX SIMON
NPI 1396566030
Anesthesiologist Assistant in Green Bay, WI

Active since October 23, 2024Accepts Medicare Assignment
744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3605(920) 433-3589 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Frantz Merveilleux Simon NPPES

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

FRANTZ MERVEILLEUX SIMON (NPI 1396566030) is an individual anesthesiologist assistant in Green Bay, Wisconsin, licensed in Wisconsin (583-17) and active in the NPI registry since October 2024. He is affiliated with Bellin Memorial Hospital, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396566030
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameFRANTZ MERVEILLEUX SIMON
Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505
Mailing Address1913 Browning RdMadison, WI 53704-3003 · (920) 659-8396
Phone(920) 433-3605
Fax(920) 433-3589
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 23, 2024
Last NPPES UpdateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1396566030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in WI · 583-17
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
744 S WEBSTER AVE, Green Bay, WI 54301
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Secondary Practice Location 1

Location 14108 N Richards StMilwaukee, WI 53212-1012 · Phone (920) 659-8396

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Frantz Merveilleux Simon 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 ID345753182
PECOS Enrollment IDI20250703000875

Medicare Billing Reassignments

2

Medicare enrollment records show Frantz Simon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc
Same address
Family Medicine
744 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1033172390 (920) 445-7272
Oconto Hospital & Medical Center Inc
24 mi
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1053279091 (920) 388-4640

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

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.

TAMMY ANN MOTQUIN
Nurse Practitioner (Family)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 445-7226
DR. PAMELA RANI SUD MD
Internal Medicine (Pulmonary Disease)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7451
CALEY PETERS RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 431-5696
YONGSUB CHOI
Internal Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3500
CORINNE ELIZABETH GEORGE APNP
Nurse Practitioner (Neonatal)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3500
STEVEN THANH HO CAA
Anesthesiologist Assistant
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3605
JAMIE LYNN MOSUPYE O.T.
Occupational Therapist
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7823
MIRANDA MARIE HINTZ APNP
Nurse Practitioner
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7457

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 Frantz Simon's NPI number?

The NPI number for Frantz Simon is 1396566030. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Frantz Simon located?

Frantz Simon practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-3605.

What is Frantz Simon's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Frantz Simon enrolled in Medicare?

Yes. Frantz 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.

Which organizations bill Medicare for Frantz Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frantz Simon reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Green Bay, WI) and Oconto Hospital & Medical Center Inc (Kewaunee, WI). Each 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 Frantz Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Frantz Simon accept?

Health plans from CareSource (Common Ground Healthcare) list Frantz 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 Frantz Simon affiliated with any hospitals?

According to CMS data, Frantz Simon is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Frantz Simon was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.