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

Dr. Evan Nicholas Simonson, DPM

Individual provider Orthopaedic Foot and Ankle Surgery Physician · NPI 1699063743

Dr. Evan Nicholas Simonson, DPM is a Podiatry in Prescott, Arizona. Qualified in 2011, 15 years ago. Practices with Granite Orthopaedics PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2011
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1223 Willow Creek Rd
Prescott, AZ 86301-1427
Phone: (928) 777-9950
Fax: (928) 777-9975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Foot and Ankle Surgery Physician (primary) Taxonomy 207XX0004X · Licence 0787 (AZ)

Record details

NPI number1699063743
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 11, 2011
Last updated in NPPESJune 21, 2016
Mailing address1223 Willow Creek Rd, Prescott, AZ 86301-1427

Medicare enrollment

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

Medicare specialtyPODIATRY
Also practisesORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Granite Orthopaedics Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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