MRS. MEGAN KATHLEEN SIM NP
NPI 1518631183
Nurse Practitioner in Emmitsburg, MD

Q: What is Megan Sim's NPI number?

The NPI number for Megan Sim is 1518631183. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Megan Sim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Megan Sim was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 05, 2021PECOS EnrolledAccepts Medicare Assignment

80.25/100

CMS Quality Rating

16403 OLD EMMITSBURG RD, EMMITSBURG, MD 21727(240) 215-6310 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2023, Dec 19, 2022, Dec 16, 2022 and 3 more (6 updates tracked since 2021).

On this page

About Mrs. Megan Kathleen Sim Np NPPES

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

MRS. MEGAN KATHLEEN SIM NP (NPI 1518631183) is an individual nurse practitioner in Emmitsburg, Maryland, licensed in Maryland (R240701) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains 12 additional practice locations.

NPPES Registry Identity

NPI1518631183

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MEGAN KATHLEEN SIMCredential: NP

Location Address16403 OLD EMMITSBURG RDEmmitsburg, MD 21727-8929

Mailing AddressPo Box 749488Atlanta, GA 30374-9488 · (239) 432-8331 · Fax (813) 321-1296

Phone(240) 215-6310

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 5, 2021

Last NPPES UpdateJanuary 3, 20236 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2023

✔ NPI 1518631183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MD · R240701

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

16403 OLD EMMITSBURG RD, Emmitsburg, MD 21727

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Other Names 1

Other Name (5)Megan Sim

Secondary Practice Locations 12

Location 115 E Frederick StWalkersville, MD 21793-8234 · Phone (240) 215-6310

Location 2230 W Patrick StFrederick, MD 21701-6945 · Phone (240) 215-6310

Location 3504 E Ridgeville BlvdMount Airy, MD 21771-5942 · Phone (240) 215-6310

Location 43000D Ventrie CtMyersville, MD 21773-7817 · Phone (240) 215-6310

Location 51562 Opossumtown PikeFrederick, MD 21702-4920 · Phone (240) 215-6310

Location 6194 Thomas Johnson DrFrederick, MD 21702-4679 · Phone (240) 215-6310

Location 77211 Bank CtFrederick, MD 21703-8483 · Phone (240) 215-6310

Location 875 Thomas Johnson DrFrederick, MD 21702-4895 · Phone (240) 215-6310

Location 9141 Thomas Johnson DrFrederick, MD 21702-4502 · Phone (301) 846-0100

Location 10400 W 7th StFrederick, MD 21701-4506 · Phone (240) 215-6310

Location 11501 W 7th StFrederick, MD 21701-4586 · Phone (240) 215-6310

Location 123430 Worthington BlvdFrederick, MD 21704-7017 · Phone (240) 215-6310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Megan Kathleen Sim Np 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 ID7719375492

PECOS Enrollment IDI20230103000946

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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

249 services240 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

65 services65 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

54 services27 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.

44 services43 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.

34 services34 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21727 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.

80.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.29

Promoting Interoperability

100

Improvement Activities

Cost

54.89

Other Providers at the Same Location NPPES 6

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

FREDERICK HEALTH HOSPITAL INC

Clinic/Center (Radiology)