PAULINA SIMON AGPCNP
NPI 1962959346
Nurse Practitioner - Primary Care in Peoria, AZ

Active since September 02, 2016PECOS EnrolledAccepts Medicare Assignment
14074 N 90TH DR, PEORIA, AZ 85381(623) 219-7768(480) 436-6926 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2020, Sep 2, 2016 (2 updates tracked since 2016).

About Paulina Simon Agpcnp NPPES

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

PAULINA SIMON AGPCNP (NPI 1962959346) is an individual primary care provider in Peoria, Arizona, licensed in Arizona (AP8849) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962959346
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NamePAULINA SIMONCredential: AGPCNP
Location Address14074 N 90TH DRPeoria, AZ 85381-3678
Mailing Address8380 W Emile Zola Ave, #5178Peoria, AZ 85381-3068 · (623) 219-7768 · Fax (480) 436-6926
Fax(480) 436-6926
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 2, 2016
Last NPPES UpdateJanuary 13, 20202 updates tracked since enumeration
NPI 1962959346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in AZ · AP8849
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP8849 (AZ)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP8849 (AZ)
14074 N 90TH DR, Peoria, AZ 85381

Accepted 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

Paulina Simon Agpcnp 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 ID9830487495
PECOS Enrollment IDI20161013001927
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.

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
66 services23 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%138 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%240 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
50%240 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
19%240 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Paulina Simon's NPI number?

The NPI number for Paulina Simon is 1962959346. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Paulina Simon located?

Paulina Simon practices at 14074 N 90th Dr, Peoria, AZ 85381. The listed phone number is (623) 219-7768.

What is Paulina Simon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Paulina Simon enrolled in Medicare?

Yes. Paulina 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 Paulina Simon accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Paulina 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.

When was this NPI record last updated?

The NPPES record for Paulina Simon was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.