NINA S. SIMON DNP,CNM
NPI 1811185036
Advanced Practice Midwife in Rio Rancho, NM

Q: What is Nina Simon's NPI number?

The NPI number for Nina Simon is 1811185036. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Q: What is Nina Simon's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nina Simon was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 12, 2007PECOS EnrolledAccepts Medicare Assignment

83.84/100

CMS Quality Rating

2400 UNSER BLVD SE STE 28400, RIO RANCHO, NM 87124(505) 253-3000(505) 253-3001 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, Feb 5, 2016 (2 updates tracked since 2016).

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About Nina S. Simon Dnp,cnm NPPES

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

NINA S. SIMON DNP,CNM (NPI 1811185036) is an individual advanced practice midwife in Rio Rancho, New Mexico, licensed in New Mexico (563) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1811185036

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameNINA S. SIMONCredential: DNP,CNM

Location Address2400 UNSER BLVD SE STE 28400Rio Rancho, NM 87124-3392

Mailing Address2400 Unser Blvd Se Ste 28400Rio Rancho, NM 87124-3392 · (505) 253-3000 · Fax (505) 253-3001

Phone(505) 253-3000

Fax(505) 253-3001

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateOctober 12, 2007

Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1811185036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in NM · 563

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedMidwifeTaxonomy 176B00000X · License 563 (NM)

2400 UNSER BLVD SE STE 28400, Rio Rancho, NM 87124

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Other Identifiers 1

Medicaid12251046NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Nina S. Simon Dnp,cnm 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 ID3375629322

PECOS Enrollment IDI20080401000064

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.

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 87124 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

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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.

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.

83.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.59

Promoting Interoperability

100

Improvement Activities

Cost

58.63

Other Providers at the Same Location NPPES 4

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

REGAN ELIZABETH RILEY D.O.

Obstetrics & Gynecology (Complex Family Planning)

2400 UNSER BLVD SE STE 28400
RIO RANCHO, NM 87124

Sandoval County (505) 253-3000

DR. JACLYN LEE ESTES M.D.

Obstetrics & Gynecology

2400 UNSER BLVD SE STE 28400
RIO RANCHO, NM 87124

Sandoval County (505) 253-3000

KARA SHAIN MD

Obstetrics & Gynecology

2400 UNSER BLVD SE STE 28400, OBSTETRICS AND GYNECOLOGY
RIO RANCHO, NM 87124

Sandoval County (505) 253-3000

MS. JENNIFER LYNN SCHUMAN CERTIFIED NURSE MIDW

Advanced Practice Midwife

2400 UNSER BLVD SE STE 28400
RIO RANCHO, NM 87124

Sandoval County (505) 253-3000

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 Nina Simon's NPI number?

The NPI number for Nina Simon is 1811185036. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Nina Simon located?

Nina Simon practices at 2400 Unser Blvd SE Ste 28400, Rio Rancho, NM 87124. The listed phone number is (505) 253-3000.

What is Nina Simon's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Nina Simon enrolled in Medicare?

Yes. Nina 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 Nina Simon accept?

Health plans from UnitedHealthcare list Nina 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 Nina Simon affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Nina Simon was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.