Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colleen Julia Simon, PA

Individual provider Physician Assistant · NPI 1972266252

Colleen Julia Simon, PA is a Physician Assistant in East Lansing, Michigan. Graduated from Lincoln Memorial University Medical Department in 2021, 5 years ago. Practices with Michigan Advanced Psychiatry, PC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Michigan.

Years since qualifying
5
Trained at
Lincoln Memorial University Medical Department
Licensed in
FL, MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

612 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-8528
Phone: (517) 331-0793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010767 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 9114879 (FL)

Record details

NPI number1972266252
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 14, 2021
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address612 W Lake Lansing Rd Ste 200, East Lansing, MI 48823-8528

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2021 (5 years in practice)
Group practice Michigan Advanced Psychiatry, P.C. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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