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

Individual provider Medical Physician Assistant · NPI 1487246120

Olivia Marie Simon, PA is a Physician Assistant in Rochester, New York. Qualified in 2020, 6 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1445 Portland Ave Ste 304
Rochester, NY 14621-3008
Phone: (585) 922-5920
Fax: (585) 922-5960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1425 Portland Ave, Rochester, NY 14621-3011 — (585) 922-4371

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 025777 (NY)

Record details

NPI number1487246120
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 4, 2021
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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