MARY TABATHA SIMON FNP
NPI 1902282270
Nurse Practitioner - Family in Easley, SC
About Mary Tabatha Simon Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY TABATHA SIMON FNP (NPI 1902282270) is an individual family provider in Easley, South Carolina, licensed in South Carolina (19600) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
Mary Tabatha Simon Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Easley, SC 29642
- Reassigned Medicare billing, South Carolina enrollment
- 248 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 9
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Francis-Downtown
Acute Care Hospitals · Greenville, SCPrisma Health Greenville Memorial Hospital
Acute Care Hospitals · Greenville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mary Simon's NPI number?
The NPI number for Mary Simon is 1902282270. It was assigned to this individual provider in the NPPES registry on August 10, 2015.
Where is Mary Simon located?
Mary Simon practices at 290 Enterprise Dr, Easley, SC 29642. The listed phone number is (864) 365-0290.
What is Mary Simon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Simon enrolled in Medicare?
Yes. Mary 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.
Which organization bills Medicare for Mary Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Simon reassigns Medicare benefits to St Francis Physician Services Inc (Easley, SC). The 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 Mary Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Simon accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Cigna Healthcare and 4 other insurers list Mary 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 Mary Simon affiliated with any hospitals?
According to CMS data, Mary Simon is affiliated with St Francis-Downtown and Prisma Health Greenville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mary Simon was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mary Tabatha Simon, FNP · NPI 1902282270
Family physician in Easley, South Carolina. Individual provider, active in the CMS NPPES registry since August 10, 2015.
## Identity
- **NPI:** 1902282270 (Entity type: Individual)
- **Enumerated:** August 10, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 19600 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 290 ENTERPRISE DR, Easley, SC 29642-8280
- **Phone:** (864) 365-0290
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Francis Physician Services Inc (NPI 1578991741, Easley, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902282270) · Data from the CMS NPPES public registry.