REBECCA SIMON M.S.N., F.N.P.
NPI 1578235487
Nurse Practitioner - Family in Albuquerque, NM

Active since September 29, 2021PECOS EnrolledAccepts Medicare Assignment
6100 PAN AMERICAN FREEWAY NE STE 450, OBSTETRICS AND GYNECOLOGY, ALBUQUERQUE, NM 87109(505) 823-8787(505) 823-8788 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, Jan 16, 2023, Sep 29, 2021 (3 updates tracked since 2021).

About Rebecca Simon M.s.n., F.n.p. NPPES

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

REBECCA SIMON M.S.N., F.N.P. (NPI 1578235487) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (78352) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1578235487
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA SIMONCredential: M.S.N., F.N.P.
Location Address6100 PAN AMERICAN FREEWAY NE STE 450, OBSTETRICS AND GYNECOLOGYAlbuquerque, NM 87109
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125
Fax(505) 823-8788
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 29, 2021
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1578235487 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
Licenses Licensed in NM · 78352 Licensed in TX · 1054695
6100 PAN AMERICAN FREEWAY NE STE 450, Albuquerque, NM 87109

Accepted Insurance

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

Rebecca Simon M.s.n., F.n.p. 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 ID42695090
PECOS Enrollment IDI20240808003083
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 6

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.
23 services22 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.
18 services18 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.
17 services17 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
15 services15 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.
14 services14 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 services12 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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

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

Nurse Practitioner
6100 PAN AMERICAN FREEWAY NE STE 450
ALBUQUERQUE, NM 87109

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 Rebecca Simon's NPI number?

The NPI number for Rebecca Simon is 1578235487. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Rebecca Simon located?

Rebecca Simon practices at 6100 Pan American Freeway NE Ste 450 Obstetrics And Gynecology, Albuquerque, NM 87109. The listed phone number is (505) 823-8787.

What is Rebecca Simon's specialty?

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

Is Rebecca Simon enrolled in Medicare?

Yes. Rebecca 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.

What insurance does Rebecca Simon accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Rebecca Simon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rebecca Simon affiliated with any hospitals?

According to CMS data, Rebecca Simon is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Simon was last updated on August 5, 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.