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CAITLIN A SIMONS FNP
NPI 1427725415
Nurse Practitioner - Family in Portland, OR

Active since August 26, 2021PECOS EnrolledAccepts Medicare Assignment
79.06/100
CMS Quality Rating
4400 NE HALSEY ST STE 286, PORTLAND, OR 97213(503) 729-5814 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 27, 2025, Aug 26, 2021 (2 updates tracked since 2021).

About Caitlin A Simons Fnp NPPES

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

CAITLIN A SIMONS FNP (NPI 1427725415) is an individual family provider in Portland, Oregon, licensed in Oregon (202108866NP-PP) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wheeler, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427725415
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAITLIN A SIMONSCredential: FNP
Location Address4400 NE HALSEY ST STE 286Portland, OR 97213-1545
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 729-5814
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 26, 2021
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1427725415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 202108866NP-PP
4400 NE HALSEY ST STE 286, Portland, OR 97213
Open in Google Maps ↗

Secondary Practice Location 1

Location 1230 Rowe StreetWheeler, OR 97147 · Phone (844) 715-2299

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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 and accepts Medicare assignment

Caitlin A Simons Fnp 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 ID1951707363
PECOS Enrollment IDI20210910000802
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.9
Promoting Interoperability100
Improvement Activities40
Cost42.85

Other Providers at the Same Location NPPES 2

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

CONNIE J SILVERMAN FNP
Nurse Practitioner (Family)
4400 NE HALSEY ST STE 286
PORTLAND, OR 97213
Multnomah County (503) 729-5814
MEGAN MARIE MONTY FNP
Nurse Practitioner (Family)
4400 NE HALSEY ST STE 286
PORTLAND, OR 97213
Multnomah County (503) 729-5814

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 Caitlin Simons's NPI number?

The NPI number for Caitlin Simons is 1427725415. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Caitlin Simons located?

Caitlin Simons practices at 4400 NE Halsey St Ste 286, Portland, OR 97213. The listed phone number is (503) 729-5814.

What is Caitlin Simons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Caitlin Simons enrolled in Medicare?

Yes. Caitlin Simons 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 Caitlin Simons accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Caitlin Simons 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.

When was this NPI record last updated?

The NPPES record for Caitlin Simons was last updated on February 27, 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.