JULIE ANN SIMONI CRNP
NPI 1689365678
Nurse Practitioner - Family in Howard, PA

Active since May 19, 2023PECOS EnrolledAccepts Medicare Assignment
323 TWO MILE RD, HOWARD, PA 16841(814) 441-8012 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 16, 2023, Jul 5, 2023, May 19, 2023 (3 updates tracked since 2023).

About Julie Ann Simoni Crnp NPPES

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

JULIE ANN SIMONI CRNP (NPI 1689365678) is an individual family provider in Howard, Pennsylvania, licensed in Pennsylvania (SP027770) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689365678
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJULIE ANN SIMONICredential: CRNP
Location Address323 TWO MILE RDHoward, PA 16841-4054
Mailing Address323 Two Mile RdHoward, PA 16841-4054 · (814) 441-8012
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 19, 2023
Last NPPES UpdateNovember 16, 20233 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1689365678 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 · SP027770
Also ListedRegistered NurseTaxonomy 163W00000X · License RN577969 (PA)
323 TWO MILE RD, Howard, PA 16841

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

Julie Ann Simoni 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 ID840650008
PECOS Enrollment IDI20230719002448
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 Reassignments

2

Medicare enrollment records show Julie Simoni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
871 BEAVER DR
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7 clinicians in this Medicare group
Family Medicine
33 BEAVER DR, STE 1
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 95 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 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 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.
227 services144 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
26 services26 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.
23 services23 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.
16 services16 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.
15 services15 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Connellsville

Acute Care Hospitals · Connellsville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390184
Location401 East Murphy AvenueConnellsville, PA 15425 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16841 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.

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 Julie Simoni's NPI number?

The NPI number for Julie Simoni is 1689365678. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Julie Simoni located?

Julie Simoni practices at 323 Two Mile Rd, Howard, PA 16841. The listed phone number is (814) 441-8012.

What is Julie Simoni's specialty?

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

Is Julie Simoni enrolled in Medicare?

Yes. Julie Simoni 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 organizations bill Medicare for Julie Simoni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Simoni reassigns Medicare benefits to 2 organizations: Clearfield Jefferson Head And Neck Surgical Associates, Inc. (Du Bois, PA) and Clearfield-Jefferson Primary Care Associates PC (Du Bois, PA). Each 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 Julie Simoni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julie Simoni accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Julie Simoni 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 Julie Simoni affiliated with any hospitals?

According to CMS data, Julie Simoni is affiliated with Penn Highlands Dubois and Penn Highlands Connellsville.

When was this NPI record last updated?

The NPPES record for Julie Simoni was last updated on November 16, 2023. 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.