CAITLIN A SIMONS FNP
NPI 1427725415
Nurse Practitioner - Family in Portland, OR
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Caitlin Simons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97213
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.
Which organization bills Medicare for Caitlin Simons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Simons reassigns Medicare benefits to Providence Health & Services Oregon (Portland, OR). The 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 Caitlin Simons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Caitlin Simons accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 19 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.
# Caitlin A Simons, FNP · NPI 1427725415
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 26, 2021.
## Identity
- **NPI:** 1427725415 (Entity type: Individual)
- **Enumerated:** August 26, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 202108866NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4400 NE HALSEY ST STE 286, Portland, OR 97213-1545
- **Phone:** (503) 729-5814
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Health & Services Oregon (NPI 1164623401, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1427725415) · Data from the CMS NPPES public registry.