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MRS. SIMONE LIBERTY O'DONOVAN FNP-BC
NPI 1861932717
Nurse Practitioner - Family in Highland Mills, NY

Active since February 26, 2017PECOS EnrolledAccepts Medicare Assignment
26 RUTLEDGE AVE, HIGHLAND MILLS, NY 10930(201) 638-4128 Get Directions Write a Review

NPPES record last updated: February 26, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Simone Liberty O'donovan Fnp-bc NPPES

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

MRS. SIMONE LIBERTY O'DONOVAN FNP-BC (NPI 1861932717) is an individual family provider in Highland Mills, New York, licensed in New York (33 341306) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861932717
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SIMONE LIBERTY O'DONOVANCredential: FNP-BC
Location Address26 RUTLEDGE AVEHighland Mills, NY 10930-5101
Mailing Address26 Rutledge AveHighland Mills, NY 10930-5101 · (201) 638-4128
Phone(201) 638-4128
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 26, 2017
✔ NPI 1861932717 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 NY · 33 341306
26 RUTLEDGE AVE, Highland Mills, NY 10930
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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

Mrs. Simone Liberty O'donovan 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 ID244502813
PECOS Enrollment IDI20170816002107
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 Simone O'donovan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Middletown Medical PC
16 mi
Emergency Medicine
111 MALTESE DR
Middletown, NY 10940
  • Reassigned Medicare billing, New York enrollment
  • 281 clinicians in this Medicare group
NPI 1902855828 (845) 342-4774
Cogent Medical Care PC
72 mi
Internal Medicine
101 HOSPITAL RD
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 640 clinicians in this Medicare group
NPI 1912941238 (631) 687-4131

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 10930 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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 Simone O'donovan's NPI number?

The NPI number for Simone O'donovan is 1861932717. It was assigned to this individual provider in the NPPES registry on February 26, 2017.

Where is Simone O'donovan located?

Simone O'donovan practices at 26 Rutledge Ave, Highland Mills, NY 10930. The listed phone number is (201) 638-4128.

What is Simone O'donovan's specialty?

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

Is Simone O'donovan enrolled in Medicare?

Yes. Simone O'donovan 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 Simone O'donovan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simone O'donovan reassigns Medicare benefits to 2 organizations: Middletown Medical PC (Middletown, NY) and Cogent Medical Care PC (East Patchogue, NY). 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 Simone O'donovan'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 Simone O'donovan was last updated on February 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.