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

Miss. Katherine Clarke Simon, APNP

Individual provider Family Nurse Practitioner · NPI 1407363385

Miss. Katherine Clarke Simon, APNP is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2017, 9 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Wisconsin.

Years since qualifying
9
Licensed in
OH, WI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-0505
Fax: (414) 955-0231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 N Lake Dr, Milwaukee, WI 53211-4508 — (414) 259-7585

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13649 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.022128 (OH)

Record details

NPI number1407363385
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 2, 2018
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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