SIMON FAMILY MEDICINE, PLLC
NPI 1457630568
Family Medicine in Elko, NV

Q: What is Simon Family Medicine, PLLC's NPI number?

The NPI number for Simon Family Medicine, PLLC is 1457630568. It was assigned to this organization in the NPPES registry on August 6, 2011.

Q: What is Simon Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 06, 2011CLIA 29D2030114 · Microscopy

1995 ERRECART BLVD, SUITE 208, ELKO, NV 89801(866) 403-8476(866) 374-7518 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Simon Family Medicine, Pllc NPPES

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

SIMON FAMILY MEDICINE, PLLC (NPI 1457630568) is a healthcare organization registered as a family medicine in Elko, Nevada and active in the NPI registry since August 2011. The organization holds a CLIA Microscopy certificate valid through September 20, 2027 and lists Ronald David Simon, Owner, as its authorized official.

NPPES Registry Identity

NPI1457630568

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSIMON FAMILY MEDICINE, PLLC

Location Address1995 ERRECART BLVD, SUITE 208Elko, NV 89801-8346

Mailing Address1995 Errecart Blvd, Suite 208Elko, NV 89801-8346 · (866) 403-8476 · Fax (866) 374-7518

Phone(866) 403-8476

Fax(866) 374-7518

Organization SubpartNo

Authorized OfficialRonald David SimonOwner · (678) 939-9665

Enumeration DateAugust 6, 2011

Last NPPES UpdateOctober 18, 2011

✔ NPI 1457630568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1995 ERRECART BLVD, Elko, NV 89801

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Other Identifiers 1

Medicare PINFI107ANV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNevadaEnrollment IDO20110901000662Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Simon Family Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ronald Simon, DO

Family Practice

NPI 1740266972

1775 BROWNING WAY STE 201
Elko, NV 89801

(775) 777-8008

✔ PECOS✔ Accepts Medicare0.7 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 29D2030114

Simon Family Medicine PLLC · Elko, NV

Active · expires Sep 20, 2027

CLIA Number29D2030114

Laboratory TypePhysician Office

Certificate Effective DateSeptember 21, 2025

Certificate Expiration DateSeptember 20, 2027

Laboratory DirectorRonald D. Simon

Laboratory Phone(775) 777-8008

Laboratory LocationSimon Family Medicine PLLC1995 Errecart Blvd Ste 208, Elko, NV 89801

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Simon Family Medicine, PLLC's NPI number?

The NPI number for Simon Family Medicine, PLLC is 1457630568. It was assigned to this organization in the NPPES registry on August 6, 2011.

Where is Simon Family Medicine, PLLC located?

Simon Family Medicine, PLLC is located at 1995 Errecart Blvd Suite 208, Elko, NV 89801. The listed phone number is (866) 403-8476.

What is Simon Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Simon Family Medicine, PLLC enrolled in Medicare?

Yes. Simon Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

When is Simon Family Medicine, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Simon Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Simon Family Medicine, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Simon Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 29D2030114) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Simon Family Medicine, PLLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Simon Family Medicine, PLLC 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 Simon Family Medicine, PLLC was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.