MRS. MIA ROSE SIMONCELLI FNP-BC
NPI 1689173171
Nurse Practitioner - Family in Brocton, NY
About Mrs. Mia Rose Simoncelli Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MIA ROSE SIMONCELLI FNP-BC (NPI 1689173171) is an individual family provider in Brocton, New York, licensed in New York (F342490-1) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Mia Rose Simoncelli Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mia Simoncelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dunkirk, NY 14048
- Reassigned Medicare billing, New York enrollment
- 572 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mia Simoncelli's NPI number?
The NPI number for Mia Simoncelli is 1689173171. It was assigned to this individual provider in the NPPES registry on February 9, 2018. The provider is also known as Mia Rose Hernandez Fnp-Bc.
Where is Mia Simoncelli located?
Mia Simoncelli practices at PO Box T, Brocton, NY 14716. The listed phone number is (716) 792-7100.
What is Mia Simoncelli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mia Simoncelli enrolled in Medicare?
Yes. Mia Simoncelli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mia Simoncelli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mia Simoncelli reassigns Medicare benefits to General Physician, PC (Dunkirk, NY). 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 Mia Simoncelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mia Simoncelli was last updated on May 13, 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.
# Mrs. Mia Rose Simoncelli, FNP-BC · NPI 1689173171
Family physician in Brocton, New York. Individual provider, active in the CMS NPPES registry since February 9, 2018.
## Identity
- **NPI:** 1689173171 (Entity type: Individual)
- **Enumerated:** February 9, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F342490-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX T, Brocton, NY 14716-0679
- **Phone:** (716) 792-7100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** General Physician, PC (NPI 1093959322, Dunkirk, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689173171) · Data from the CMS NPPES public registry.