MISHEL SIMONI MD
NPI 1447836549
Family Medicine in Waverly, OH
About Mishel Simoni Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISHEL SIMONI MD (NPI 1447836549) is an individual family medicine provider in Waverly, Ohio, licensed in Ohio (35.150639) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and maintains a secondary practice location in Chillicothe.
NPPES Registry Identity
Specialties & Licenses 2
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
Mishel Simoni Md 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 Mishel Simoni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chillicothe, OH 45601
- Reassigned Medicare billing, Ohio enrollment
- 763 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adena Regional Medical Center
Acute Care Hospitals · Chillicothe, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45690 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAVERLY, OH 45690
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 Mishel Simoni's NPI number?
The NPI number for Mishel Simoni is 1447836549. It was assigned to this individual provider in the NPPES registry on March 20, 2021.
Where is Mishel Simoni located?
Mishel Simoni practices at 12340 State Route 104, Waverly, OH 45690. The listed phone number is (740) 941-5180.
What is Mishel Simoni's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mishel Simoni enrolled in Medicare?
Yes. Mishel Simoni 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 Mishel Simoni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mishel Simoni reassigns Medicare benefits to Adena Medical Group LLC (Chillicothe, OH). 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 Mishel Simoni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mishel Simoni accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Mishel Simoni 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 Mishel Simoni affiliated with any hospitals?
According to CMS data, Mishel Simoni is affiliated with Adena Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Mishel Simoni was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mishel Simoni, MD · NPI 1447836549
Family Medicine physician in Waverly, Ohio. Individual provider, active in the CMS NPPES registry since March 20, 2021.
## Identity
- **NPI:** 1447836549 (Entity type: Individual)
- **Enumerated:** March 20, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35.150639 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 12340 STATE ROUTE 104, Waverly, OH 45690-8968
- **Phone:** (740) 941-5180
## 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:** Adena Medical Group LLC (NPI 1235468083, Chillicothe, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1447836549) · Data from the CMS NPPES public registry.