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MARCEL SIMO ARNP
NPI 1972734002
Nurse Practitioner - Family in Richmond, KY

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment
519 HAMPTON WAY STE 8, RICHMOND, KY 40475(859) 825-6872(859) 201-1449 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2022, Mar 29, 2021 (2 updates tracked since 2021).

About Marcel Simo Arnp NPPES

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

MARCEL SIMO ARNP (NPI 1972734002) is an individual family provider in Richmond, Kentucky, licensed in Kentucky (6066P) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2008).

NPPES Registry Identity

NPI1972734002
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARCEL SIMOCredential: ARNP
Location Address519 HAMPTON WAY STE 8Richmond, KY 40475-8885
Mailing Address519 Hampton Way Ste 8Richmond, KY 40475-8885 · (859) 825-6872 · Fax (859) 201-1449
Phone(859) 825-6872
Fax(859) 201-1449
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2008
Enumeration DateAugust 6, 2009
Last NPPES UpdateMay 17, 20222 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1972734002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 6066P
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 3006066 (KY)
519 HAMPTON WAY STE 8, Richmond, KY 40475
Open in Google Maps ↗

Other Identifiers 2

Other1120228KY · Rn License Number
Other6066PKY · Arnp License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Marcel Simo Arnp 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 ID2466508213
PECOS Enrollment IDI20090918000403
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 Marcel Simo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Madison Healthcare Services
0.1 mi
Primary Care
519 HAMPTON WAY STE 5
Richmond, KY 40475
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
NPI 1083365670 (859) 825-6872
Primary Care Of The Bluegrass, LLC
21 mi
Primary Care
29 MAIN ST
Crab Orchard, KY 40419
  • Reassigned Medicare billing, Kentucky enrollment
  • 25 clinicians in this Medicare group
NPI 1942463096 (606) 355-7800

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
454 services36 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
225 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40475 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 Marcel Simo's NPI number?

The NPI number for Marcel Simo is 1972734002. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Marcel Simo located?

Marcel Simo practices at 519 Hampton Way Ste 8, Richmond, KY 40475. The listed phone number is (859) 825-6872.

What is Marcel Simo's specialty?

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

Is Marcel Simo enrolled in Medicare?

Yes. Marcel Simo 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 Marcel Simo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcel Simo reassigns Medicare benefits to 2 organizations: Madison Healthcare Services (Richmond, KY) and Primary Care Of The Bluegrass, LLC (Crab Orchard, KY). 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 Marcel Simo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcel Simo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Marcel Simo 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 Marcel Simo was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.