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

Paulina Simon, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1962959346

Paulina Simon, AGPCNP is a Nurse Practitioner in Peoria, Arizona. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2016
Specialties on file
3

Practice location Address checks out

14074 N 90th Dr
Peoria, AZ 85381-3678
Phone: (623) 219-7768
Fax: (480) 436-6926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP8849 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP8849 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP8849 (AZ)

Record details

NPI number1962959346
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedSeptember 2, 2016
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020
Mailing address8380 W Emile Zola Ave, 5178, Peoria, AZ 85381-3068

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Peoria