Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELLE DANIELLE SIMON
NPI 1922879667
Nurse Practitioner - Psychiatric/Mental Health in Toledo, OH

Active since January 11, 2024PECOS Enrolled
544 E WOODRUFF AVE, TOLEDO, OH 43604(419) 242-9577(419) 936-7606 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michelle Danielle Simon NPPES

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

MICHELLE DANIELLE SIMON (NPI 1922879667) is an individual psychiatric/mental health provider in Toledo, Ohio, licensed in Ohio (APRN.CNP.0035644) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922879667
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE DANIELLE SIMON
Location Address544 E WOODRUFF AVEToledo, OH 43604-5367
Mailing Address1425 Starr AveToledo, OH 43605-2456 · (419) 693-0631 · Fax (419) 936-7606
Fax(419) 936-7606
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 11, 2024
Last NPPES UpdateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1922879667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0035644
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0035644 (OH)
544 E WOODRUFF AVE, Toledo, OH 43604

Other Names 1

Former Name (1)Michelle Danielle Lee

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Danielle Simon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214377787
PECOS Enrollment IDI20240501000732
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 Reassignment

Medicare enrollment records show Michelle Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1425 STARR AVE
Toledo, OH 43605
  • Reassigned Medicare billing, Ohio enrollment
  • 84 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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43604 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Registered Nurse (Psychiatric/Mental Health)
544 E WOODRUFF AVE
TOLEDO, OH 43604
Case Manager/Care Coordinator
544 E WOODRUFF AVE
TOLEDO, OH 43604
Clinic/Center (Family Planning, Non-Surgical)
544 E WOODRUFF AVE
TOLEDO, OH 43604
Registered Nurse
544 E WOODRUFF AVE
TOLEDO, OH 43604
Nurse Practitioner (Family)
544 E WOODRUFF AVE
TOLEDO, OH 43604
Registered Nurse (Psychiatric/Mental Health)
544 E WOODRUFF AVE
TOLEDO, OH 43604
Social Worker (Clinical)
544 E WOODRUFF AVE
TOLEDO, OH 43604
Registered Nurse (Psychiatric/Mental Health)
544 E WOODRUFF AVE
TOLEDO, OH 43604

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 Michelle Simon's NPI number?

The NPI number for Michelle Simon is 1922879667. It was assigned to this individual provider in the NPPES registry on January 11, 2024. The provider is also known as Michelle Danielle Lee.

Where is Michelle Simon located?

Michelle Simon practices at 544 E Woodruff Ave, Toledo, OH 43604. The listed phone number is (419) 242-9577.

What is Michelle Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michelle Simon enrolled in Medicare?

Yes. Michelle Simon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Simon reassigns Medicare benefits to Unison Behavioral Health Group, Inc. (Toledo, OH). 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 Michelle Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Simon accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Michelle 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 Michelle Simon affiliated with any hospitals?

According to CMS data, Michelle Simon is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Simon was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.