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EMILY MARIE SIMON CNM
NPI 1992315238
Physician Assistant in Boscobel, WI

Active since August 02, 2020PECOS EnrolledAccepts Medicare Assignment
208 PARKER ST, BOSCOBEL, WI 53805(608) 375-2424 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emily Marie Simon Cnm NPPES

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

EMILY MARIE SIMON CNM (NPI 1992315238) is an individual physician assistant in Boscobel, Wisconsin, licensed in Illinois (085009726) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992315238
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY MARIE SIMONCredential: CNM
Location Address208 PARKER STBoscobel, WI 53805-1648
Mailing Address208 Parker StBoscobel, WI 53805-1648 · (608) 375-2424
Phone(608) 375-2424
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 2, 2020
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1992315238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085009726
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5155 (WI)
208 PARKER ST, Boscobel, WI 53805
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Other Names 1

Former Name (1)Emily Marie Mccullick Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Emily Marie Simon Cnm 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 ID6709205511
PECOS Enrollment IDI20240103002888
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.

Hospital Affiliations CMS Care Compare

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53805 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims33 services$6.55 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.70 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.99 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims480 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$19.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM P FAST MD
Family Medicine
208 PARKER ST
BOSCOBEL, WI 53805
Grant County (608) 375-4144
KURT WILHELM II MD
Family Medicine
208 PARKER ST
BOSCOBEL, WI 53805
Grant County (608) 375-4144
RITA C WALKER FNP
Nurse Practitioner (Family)
208 PARKER ST
BOSCOBEL, WI 53805
Grant County (608) 375-4144
BRAD L ECKLOR PA-C
Physician Assistant
208 PARKER ST
BOSCOBEL, WI 53805
Grant County (608) 375-4144
MEMORIAL HOSPITAL OF BOSCOBEL
Clinic/Center (Rural Health)
208 PARKER ST
BOSCOBEL, WI 53805
Grant County (608) 375-2424
NICOLE M STELDT LCSW
Social Worker (Clinical)
208 PARKER ST
BOSCOBEL, WI 53805
Grant County (608) 822-3737
BOSCOBEL CLINIC, S.C.
Family Medicine
208 PARKER ST
BOSCOBEL, WI 53805
Grant County (608) 375-4144

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 Emily Simon's NPI number?

The NPI number for Emily Simon is 1992315238. It was assigned to this individual provider in the NPPES registry on August 2, 2020. The provider is also known as Emily Marie Mccullick Pa-C.

Where is Emily Simon located?

Emily Simon practices at 208 Parker St, Boscobel, WI 53805. The listed phone number is (608) 375-2424.

What is Emily Simon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emily Simon enrolled in Medicare?

Yes. Emily 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 Emily Simon accept?

Health plans from Medica list Emily 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 Emily Simon affiliated with any hospitals?

According to CMS data, Emily Simon is affiliated with Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Emily Simon was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.