MEGAN SIMON FNP-C
NPI 1689140014
Nurse Practitioner - Psychiatric/Mental Health in Rushville, IN

Active since October 24, 2018PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1264 S STATE ROAD 3, RUSHVILLE, IN 46173(765) 932-7010(765) 932-7649 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2025, Nov 6, 2024, Jan 16, 2023 and 4 more (7 updates tracked since 2018).

About Megan Simon Fnp-c NPPES

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

MEGAN SIMON FNP-C (NPI 1689140014) is an individual psychiatric/mental health provider in Rushville, Indiana, licensed in Indiana (71009525A) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689140014
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMEGAN SIMONCredential: FNP-C
Location Address1264 S STATE ROAD 3Rushville, IN 46173-8509
Mailing Address1300 N Main StRushville, IN 46173-1198 · (765) 932-4111 · Fax (765) 932-7505
Fax(765) 932-7649
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 24, 2018
Last NPPES UpdateFebruary 17, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1689140014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71009525A
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71009525A (IN)
1264 S STATE ROAD 3, Rushville, IN 46173

Other Names 1

Former Name (1)Megan Jones Fnp-c

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Megan Simon Fnp-c 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 ID7315283793
PECOS Enrollment IDI20191113003497
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 Megan Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Access
1300 N MAIN ST
Rushville, IN 46173
  • Reassigned Medicare billing, Indiana enrollment
  • 93 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.
53 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46173 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
1264 S STATE ROAD 3
RUSHVILLE, IN 46173
Community Health Worker
1264 S STATE ROAD 3
RUSHVILLE, IN 46173
Social Worker (Clinical)
1264 S STATE ROAD 3
RUSHVILLE, IN 46173

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 Megan Simon's NPI number?

The NPI number for Megan Simon is 1689140014. It was assigned to this individual provider in the NPPES registry on October 24, 2018. The provider is also known as Megan Jones Fnp-C.

Where is Megan Simon located?

Megan Simon practices at 1264 S State Road 3, Rushville, IN 46173. The listed phone number is (765) 932-7010.

What is Megan Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Megan Simon enrolled in Medicare?

Yes. Megan 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.

Which organization bills Medicare for Megan Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Simon reassigns Medicare benefits to Rush Memorial Hospital (Rushville, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Simon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Megan 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.

When was this NPI record last updated?

The NPPES record for Megan Simon was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.