MS. LEAH A SIMONCINI CRNP
NPI 1548519903
Nurse Practitioner - Family in Dillsburg, PA

Active since August 31, 2012PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
1 TRINITY DR E STE 120, DILLSBURG, PA 17019(717) 432-5430 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Dec 12, 2020, Jun 10, 2020 and 2 more (5 updates tracked since 2016).

About Ms. Leah A Simoncini Crnp NPPES

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

MS. LEAH A SIMONCINI CRNP (NPI 1548519903) is an individual family provider in Dillsburg, Pennsylvania, licensed in Pennsylvania (SP012235) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Pennsylvania State University College Of Medicine (2012).

NPPES Registry Identity

NPI1548519903
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LEAH A SIMONCINICredential: CRNP
Location Address1 TRINITY DR E STE 120Dillsburg, PA 17019
Mailing Address1 Trinity Dr E Ste 120Dillsburg, PA 17019-8522 · (717) 432-5430 · Fax (717) 432-9296
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2012
Enumeration DateAugust 31, 2012
Last NPPES UpdateApril 21, 20225 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
NPI 1548519903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP012235
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP012235 (PA)
1 TRINITY DR E STE 120, Dillsburg, PA 17019

Other Names 1

Former Name (1)Leah A Kohler

Other Identifiers 1

Medicaid103052077PA

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

Ms. Leah A Simoncini Crnp 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 ID5991959306
PECOS Enrollment IDI20130213000230
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 7

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 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.
87 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services38 patients
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.
25 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 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.
12 services11 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17019 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$26.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1 TRINITY DR E STE 120
DILLSBURG, PA 17019
Nurse Practitioner (Family)
1 TRINITY DR E STE 120
DILLSBURG, PA 17019
Nurse Practitioner (Family)
1 TRINITY DR E STE 120
DILLSBURG, PA 17019
Nurse Practitioner (Family)
1 TRINITY DR E STE 120
DILLSBURG, PA 17019
Nurse Practitioner
1 TRINITY DR E STE 120
DILLSBURG, PA 17019
Internal Medicine
1 TRINITY DR E STE 120
DILLSBURG, PA 17019

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 Leah Simoncini's NPI number?

The NPI number for Leah Simoncini is 1548519903. It was assigned to this individual provider in the NPPES registry on August 31, 2012. The provider is also known as Leah A Kohler.

Where is Leah Simoncini located?

Leah Simoncini practices at 1 Trinity Dr E Ste 120, Dillsburg, PA 17019. The listed phone number is (717) 432-5430.

What is Leah Simoncini's specialty?

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

Is Leah Simoncini enrolled in Medicare?

Yes. Leah Simoncini 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.

Is Leah Simoncini affiliated with any hospitals?

According to CMS data, Leah Simoncini is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Leah Simoncini was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.