1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Physician Assistant
  6. NPI Profile

KATIE MICHELLE SIMON PA-C
NPI 1790204592
Physician Assistant in Grand Rapids, MI

Active since September 12, 2017PECOS EnrolledAccepts Medicare Assignment
145 MICHIGAN ST NE STE 6300, GRAND RAPIDS, MI 49503(616) 391-9945 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2026, Apr 30, 2018, Apr 25, 2018 and 1 more (4 updates tracked since 2017).

About Katie Michelle Simon Pa-c NPPES

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

KATIE MICHELLE SIMON PA-C (NPI 1790204592) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601008371) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790204592
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE MICHELLE SIMONCredential: PA-C
Location Address145 MICHIGAN ST NE STE 6300Grand Rapids, MI 49503-2562
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 391-9945
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 12, 2017
Last NPPES UpdateMay 4, 20264 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1790204592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601008371
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
145 MICHIGAN ST NE STE 6300, Grand Rapids, MI 49503
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Katie Michelle Simon Pa-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 ID3870859861
PECOS Enrollment IDI20171107003182
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 7

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

DR. CHRISTOPHER E. HUMMEL D.O.
Obstetrics & Gynecology (Gynecologic Oncology)
145 MICHIGAN ST NE STE 6300
GRAND RAPIDS, MI 49503
Kent County (616) 486-6000
HANNAH E BUDNIK MS, CGC
Genetic Counselor, MS
145 MICHIGAN ST NE STE 6300
GRAND RAPIDS, MI 49503
Kent County (616) 486-6218
ANNELISE CLAERR GAUTHIER AGPCNP
Nurse Practitioner (Gerontology)
145 MICHIGAN ST NE STE 6300
GRAND RAPIDS, MI 49503
Kent County (616) 486-6000
JORDAN SUA GC
Genetic Counselor, MS
145 MICHIGAN ST NE STE 6300
GRAND RAPIDS, MI 49503
Kent County (616) 486-6218
MEAGAN N VIEL NP
Nurse Practitioner (Family)
145 MICHIGAN ST NE STE 6300
GRAND RAPIDS, MI 49503
Kent County (616) 486-6000
CARLY DELSA TEMPLE CNP
Nurse Practitioner
145 MICHIGAN ST NE STE 6300
GRAND RAPIDS, MI 49503
Kent County (616) 486-6000
DR. GREGORY MATTHEW GRESSEL M.D.
Obstetrics & Gynecology
145 MICHIGAN ST NE STE 6300
GRAND RAPIDS, MI 49503
Kent County (616) 486-6000

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 Katie Simon's NPI number?

The NPI number for Katie Simon is 1790204592. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Katie Simon located?

Katie Simon practices at 145 Michigan St NE Ste 6300, Grand Rapids, MI 49503. The listed phone number is (616) 391-9945.

What is Katie Simon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katie Simon enrolled in Medicare?

Yes. Katie 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 Katie Simon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Katie 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 Katie Simon was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.