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

Mrs. Jennalee Danielle Simon, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1508561697

Mrs. Jennalee Danielle Simon, AGPCNP is a Nurse Practitioner in Independence, Ohio. Qualified in 2022, 4 years ago. Practices with Illumia Health LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

6480 Rockside Woods Blvd S Ste 330
Independence, OH 44131-2222
Phone: (855) 490-9434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.0032589 (OH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN.CNP.0032589 (OH)

Record details

NPI number1508561697
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address225 W Washington St Ste 1700, Chicago, IL 60606-3404

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Illumia Health Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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