MS. MARY THERESA SIMON PMHNP
NPI 1487793238
Nurse Practitioner - Psychiatric/Mental Health in Moosic, PA

Q: What is Mary Simon's NPI number?

The NPI number for Mary Simon is 1487793238. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Q: What is Mary Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mary Simon was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 06, 2007

340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 346-3686(570) 558-6838 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2017, Jan 30, 2017 (2 updates tracked since 2017).

On this page

About Ms. Mary Theresa Simon Pmhnp NPPES

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

MS. MARY THERESA SIMON PMHNP (NPI 1487793238) is an individual psychiatric/mental health provider in Moosic, Pennsylvania, licensed in Pennsylvania (SP016910) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1487793238

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. MARY THERESA SIMONCredential: PMHNP

Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1782

Mailing Address340 Montage Mountain RdMoosic, PA 18507-1782 · (570) 346-3686 · Fax (570) 558-6838

Phone(570) 346-3686

Fax(570) 558-6838

Sole ProprietorNo

Enumeration DateFebruary 6, 2007

Last NPPES UpdateFebruary 27, 20172 updates tracked since enumeration

✔ NPI 1487793238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP016910

340 MONTAGE MOUNTAIN RD, Moosic, PA 18507

Open in Google Maps ↗

Other Identifiers 2

OtherSP016910PA · Pennsylvania Certified Registered Nurse Practitioner-psychiatric Mental Health

Other2015023708Pmhnp

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

99%70 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%136 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. AMANDA LYN FIDIAM PA-C

Physician Assistant (Medical)