MRS. JENNALEE DANIELLE SIMON AGPCNP
NPI 1508561697
Nurse Practitioner - Gerontology in Independence, OH

Q: What is Jennalee Simon's NPI number?

The NPI number for Jennalee Simon is 1508561697. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Jennalee Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Jennalee Simon was last updated on March 6, 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.

Active since March 30, 2023PECOS Enrolled

6480 ROCKSIDE WOODS BLVD S STE 330, INDEPENDENCE, OH 44131(855) 490-9434 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2024, Mar 30, 2023 (2 updates tracked since 2023).

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About Mrs. Jennalee Danielle Simon Agpcnp NPPES

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

MRS. JENNALEE DANIELLE SIMON AGPCNP (NPI 1508561697) is an individual gerontology provider in Independence, Ohio, licensed in Ohio (APRN.CNP.0032589) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508561697

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMRS. JENNALEE DANIELLE SIMONCredential: AGPCNP

Location Address6480 ROCKSIDE WOODS BLVD S STE 330Independence, OH 44131-2222

Mailing Address225 W Washington St Ste 1700Chicago, IL 60606-3404 · (855) 490-9434 · Fax (216) 238-9526

Phone(855) 490-9434

Sole ProprietorNo

Enumeration DateMarch 30, 2023

Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1508561697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in OH · APRN.CNP.0032589

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN.CNP.0032589 (OH)

6480 ROCKSIDE WOODS BLVD S STE 330, Independence, OH 44131

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennalee Danielle Simon Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jennalee Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Illumia Health LLC

18 mi

Hospice and Palliative Medicine

4040 EMBASSY PKWY STE 410
Akron, OH 44333

Reassigned Medicare billing, Ohio enrollment
44 clinicians in this Medicare group

NPI 1740024397 (330) 576-5405

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44131 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 11

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

LABERTA DAWN ARNOLD MSN, AGPCNP-BC

Nurse Practitioner (Primary Care)