Katie Michelle Simon, PA-C - Medicare Physician Assistant in Grand Rapids, MI

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Katie Michelle Simon, PA-C is a medicare enrolled "Physician Assistant" in Grand Rapids, Michigan. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice John N Campbell Md Pc and her current practice location is 145 Michigan St Ne Ste 6300, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-9945.

Katie Michelle Simon is licensed to practice in Michigan (license number 5601008371) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790204592.

Contact Information

Katie Michelle Simon, PA-C
145 Michigan St Ne Ste 6300,
Grand Rapids, MI 49503-2562
(616) 391-9945
Not Available

Map and Direction




Provider's Profile

Full NameKatie Michelle Simon
GenderFemale
SpecialityPhysician Assistant
Experience9 Years
Location145 Michigan St Ne Ste 6300, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katie Michelle Simon graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1790204592
  • Provider Enumeration Date: 09/12/2017
  • Last Update Date: 05/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3870859861
  • Enrollment ID: I20171107003182

Medical Identifiers

Medical identifiers for Katie Michelle Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790204592NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601008371 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
John N Campbell Md Pc93351553166

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katie Michelle Simon allows following entities to bill medicare on her behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091
Entity NameJohn N Campbell MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598853608
PECOS PAC ID: 9335155316
Enrollment ID: O20060228000650
Entity NameMichigan Healthcare Professionals PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295023547
PECOS PAC ID: 0345413258
Enrollment ID: O20111109000027
Entity NameTaylor Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013321033
PECOS PAC ID: 2769706381
Enrollment ID: O20150130000264
Entity NameBest Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952791105
PECOS PAC ID: 4082930722
Enrollment ID: O20150224001082
Entity NameYpsilanti Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881048494
PECOS PAC ID: 0244519809
Enrollment ID: O20161122002321
Entity NameClinton Urgent Care Walk in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831610070
PECOS PAC ID: 7719257625
Enrollment ID: O20170726002006

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Michelle Simon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katie Michelle Simon, PA-C
100 Michigan St Ne, Mc 845,
Grand Rapids, MI 49503-2560

Ph: Not Available		Katie Michelle Simon, PA-C
145 Michigan St Ne Ste 6300,
Grand Rapids, MI 49503-2562

Ph: (616) 391-9945

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.