JOSE ANTONIO C SIM
NPI 1528825585
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Jose Antonio Sim's NPI number?

The NPI number for Jose Antonio Sim is 1528825585. It was assigned to this individual provider in the NPPES registry on March 5, 2024.

Q: What is Jose Antonio Sim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Antonio Sim was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 05, 2024PECOS Enrolled

2415 E CAMELBACK RD STE 700, PHOENIX, AZ 85016(602) 342-8481(602) 342-8328 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2026, Jan 30, 2026, Mar 5, 2024 (3 updates tracked since 2024).

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About Jose Antonio C Sim NPPES

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

JOSE ANTONIO C SIM (NPI 1528825585) is an individual family provider in Phoenix, Arizona, licensed in Arizona (302492) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528825585

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJOSE ANTONIO C SIM

Location Address2415 E CAMELBACK RD STE 700Phoenix, AZ 85016-4245

Mailing Address2415 E Camelback Rd Ste 700Phoenix, AZ 85016-4245 · (602) 342-8481 · Fax (602) 342-8328

Phone(602) 342-8481

Fax(602) 342-8328

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 5, 2024

Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1528825585 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 AZ · 302492

2415 E CAMELBACK RD STE 700, Phoenix, AZ 85016

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Antonio C Sim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890284368

PECOS Enrollment IDI20251027002640

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 15

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

DR. HEATHERANNE BAKER-OLDFIELD PSYD

Counselor (Pastoral)