Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ilana Adina Simon, PA-C

Individual provider Physician Assistant · NPI 1073966966

Ilana Adina Simon, PA-C is a Physician Assistant in Bellevue, Washington. Qualified in 2016, 10 years ago. Practices with Optum Care Washington PLLC, a 685-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
10
Licensed in
CA, WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1200 112th Ave NE Ste C160
Bellevue, WA 98004-3742
Phone: (425) 453-1039
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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 PA60661878 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 64040 (CA)

Record details

NPI number1073966966
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2016
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Optum Care Washington Pllc — 685 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Bellevue