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

Connor Simon, NP

Individual provider Family Nurse Practitioner · NPI 1962395988

Connor Simon, NP is a Nurse Practitioner in Baton Rouge, Louisiana. Qualified in 2024, 2 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
2
Licensed in
LA
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

7777 Hennessy Blvd Ste 206
Baton Rouge, LA 70808-4363
Phone: (225) 767-1156
Fax: (225) 767-5980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 — (225) 765-6565

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 213556 (LA)

Record details

NPI number1962395988
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials NP
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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