GUILLANA SIMON MSN FNP-BC, RN, CEN
NPI 1497270110
Nurse Practitioner - Family in California, MD

Active since August 03, 2017PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
22590 SHADY CT, CALIFORNIA, MD 20619(301) 737-0500 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Guillana Simon Msn Fnp-bc, Rn, Cen NPPES

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

GUILLANA SIMON MSN FNP-BC, RN, CEN (NPI 1497270110) is an individual family provider in California, Maryland, licensed in Maryland (R152798) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Suburban Hospital, and is a graduate of George Washington University School Of Medicine (2017).

NPPES Registry Identity

NPI1497270110
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGUILLANA SIMONCredential: MSN FNP-BC, RN, CEN
Location Address22590 SHADY CTCalifornia, MD 20619-5009
Mailing Address11186 Sewickley StWaldorf, MD 20601-2688 · (240) 222-2667
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2017
Enumeration DateAugust 3, 2017
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1497270110 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 MD · R152798
22590 SHADY CT, California, MD 20619

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

Guillana Simon Msn Fnp-bc, Rn, Cen 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 ID4486910197
PECOS Enrollment IDI20171114001139, I20180824001610
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Guillana Simon reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
24035 THREE NOTCH ROAD
Hollywood, MD 20636
  • Reassigned Medicare billing, Maryland enrollment
  • 307 clinicians in this Medicare group
Emergency Medicine
901 HARRY S TRUMAN DR N
Largo, MD 20774
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
  • Also billed through NPI 1134117393 (Virginia)
  • 1,150 clinicians in this Medicare group
Emergency Medicine
2041 GEORGIA AVE NW
Washington, DC 20060
  • Reassigned Medicare billing, District of Columbia enrollment
  • 105 clinicians in this Medicare group
Primary Care
8320 OLD COURTHOUSE RD STE 401
Vienna, VA 22182
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group
Urgent Care
11915 GEORGIA AVE
Wheaton, MD 20902
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 309 clinicians in this Medicare group
66 mi
Medical
418 WINDING ROSE DR
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 8 clinicians in this Medicare group
Emergency Medicine
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 251 clinicians in this Medicare group
Family Medicine
400 E PRATT ST FL 8
Baltimore, MD 21202
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 3 clinicians in this Medicare group
Gerontology
26 OWENS GLEN CT
North Potomac, MD 20878
  • Reassigned Medicare billing, Maryland enrollment
  • 13 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 14

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
319 services115 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services96 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
33 services33 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
29 services29 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20619 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.91
Promoting Interoperability100
Improvement Activities40
Cost48.97

Other Providers at the Same Location NPPES 12

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

Internal Medicine
22590 SHADY CT
CALIFORNIA, MD 20619
Midwife
22590 SHADY CT
CALIFORNIA, MD 20619
Nurse Practitioner (Psychiatric/Mental Health)
22590 SHADY CT
CALIFORNIA, MD 20619
Nurse Practitioner (Family)
22590 SHADY CT
CALIFORNIA, MD 20619
Psychiatry & Neurology (Neurology)
22590 SHADY CT
CALIFORNIA, MD 20619
Dermatology
22590 SHADY CT
CALIFORNIA, MD 20619
Physician Assistant (Medical)
22590 SHADY CT
CALIFORNIA, MD 20619
General Practice
22590 SHADY CT
CALIFORNIA, MD 20619

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 Guillana Simon's NPI number?

The NPI number for Guillana Simon is 1497270110. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Guillana Simon located?

Guillana Simon practices at 22590 Shady Ct, California, MD 20619. The listed phone number is (301) 737-0500.

What is Guillana Simon's specialty?

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

Is Guillana Simon enrolled in Medicare?

Yes. Guillana Simon 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 organizations bill Medicare for Guillana Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guillana Simon reassigns Medicare benefits to 9 organizations: Medstar Medical Group - Southern Maryland LLC (Hollywood, MD), Emergency Medicine Associates, PA (Largo, MD), Cep America, LLC (Washington, DC), Joyful Clinics Medical Group PC (Vienna, VA), Medstar Urgent Care, LLC (Wheaton, MD) and 4 more organizations, listed in the Medicare section above. Each 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 Guillana Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Guillana Simon affiliated with any hospitals?

According to CMS data, Guillana Simon is affiliated with Suburban Hospital.

When was this NPI record last updated?

The NPPES record for Guillana Simon was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.