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PRISCILA SIMON JOSE FNP-BC
NPI 1861228272
Nurse Practitioner - Family in Lake City, FL

Active since September 11, 2024PECOS EnrolledAccepts Medicare Assignment
340 NW COMMERCE DR, LAKE CITY, FL 32055(386) 719-9000 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Priscila Simon Jose Fnp-bc NPPES

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

PRISCILA SIMON JOSE FNP-BC (NPI 1861228272) is an individual family provider in Lake City, Florida, licensed in Florida (11035219) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861228272
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePRISCILA SIMON JOSECredential: FNP-BC
Location Address340 NW COMMERCE DRLake City, FL 32055-4709
Mailing Address7480 S State Road 121Macclenny, FL 32063-5450 · (386) 249-2131
Phone(386) 719-9000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 11, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1861228272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11035219
340 NW COMMERCE DR, Lake City, FL 32055
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Priscila Simon Jose Fnp-bc 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 ID5698200343
PECOS Enrollment IDI20241119001490
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 Priscila Simon Jose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baya Urgent Care LLC
1.8 mi
Urgent Care
1465 W US HIGHWAY 90, SUITE 100
Lake City, FL 32055
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
NPI 1447688619 (386) 755-2268
Emergency Medicine Services Of Fl, LLC
329 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000

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 32055 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 20

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

DOUBLE SPRING ANESTHESIA PROVIDERS LLC
Anesthesiology
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (800) 437-2672
KELLEY D HOLLAND PA
Physician Assistant (Medical)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9000
LACEY DAWN GEIGER AGACNP
Nurse Practitioner (Acute Care)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9000
AYE KHINE MD
Internal Medicine
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9000
FERDINAND B HILAGA MD
Anesthesiology
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9390
MRS. MELISSA KAY RIDDLE
Respiratory Therapist, Registered (General Care)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9000
FERDINAND B HILAGA MD PA
Anesthesiology
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (386) 719-9390
MRS. TAMIKA DOWLING ARNP
Nurse Practitioner (Family)
340 NW COMMERCE DR
LAKE CITY, FL 32055
Columbia County (407) 346-0676

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 Priscila Simon Jose's NPI number?

The NPI number for Priscila Simon Jose is 1861228272. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Where is Priscila Simon Jose located?

Priscila Simon Jose practices at 340 NW Commerce Dr, Lake City, FL 32055. The listed phone number is (386) 719-9000.

What is Priscila Simon Jose's specialty?

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

Is Priscila Simon Jose enrolled in Medicare?

Yes. Priscila Simon Jose 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 Priscila Simon Jose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priscila Simon Jose reassigns Medicare benefits to 2 organizations: Baya Urgent Care LLC (Lake City, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). 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 Priscila Simon Jose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priscila Simon Jose accept?

Health plans from Oscar Health Maintenance Organization of Florida list Priscila Simon Jose 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 Priscila Simon Jose was last updated on September 11, 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.