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

Elliot M Simon, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1750779856

Elliot M Simon, PHYSICIANASSISTANT is a Physician Assistant in Menomonee Falls, Wisconsin. Qualified in 2014, 12 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
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Practice location Address checks out

N91W15750 Falls Pkwy
Menomonee Falls, WI 53051-2301
Phone: (262) 532-1100
Fax: (262) 532-1409
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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 3457-23 (WI)

Record details

NPI number1750779856
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 26, 2014
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021
Mailing addressN91w15750 Falls Pkwy, Menomonee Falls, WI 53051-2301

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Menomonee Falls