Active NPI 1972054864 Individual Practitioner Female Practitioner

Simone King Paul , ARNP-BC, WCC

Nurse Practitioner - Family • Rockledge, FL

Professional Overview & Biography Verified Profile Summary

Simone King Paul, ARNP-BC, WCC is a certified Nurse Practitioner - Family practicing in Rockledge, FL. With approximately 10 years of clinical experience since completing medical education in 2016, Simone King Paul delivers high-quality medical care to the local community at 4154 SAN YSIDRO WAY.

Simone King Paul maintains professional affiliations with Dr Jose A Rivera Llc, Hickory Care Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with high level of medical decision making, per day, if using time, at least, physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4154 San Ysidro Way

Rockledge, FL 329555336

Telephone 3212416244

Fax 8333010862

Associated Practice Facility / Clinic

🏢 Partners In Community Care, Llc Facility NPI 1700412814

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Rockledge, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +1.9 yrs vs City Avg

City Avg: 8.1 Yrs

State Avg: 8.1 Yrs

Regional Practice Density

34 Specialists

Practicing in Rockledge, FL (22518 Statewide)

Telehealth Adoption Rate

8.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. King Paul (10 Years) 10 Yrs

Rockledge Specialty Average (8.1 Years) 8.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	777	119	$192.75	$105.47
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	310	95	$281.45	$153.59
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	117	44	$160.93	$86.83
11042 Removal of skin and tissue, 20.0 sq cm or less	89	20	$193.91	$105.32
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	84	54	$114.11	$63.18
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	72	20	$160.38	$86.41
99497 Advance care planning, first 30 minutes	35	35	$124.53	$68.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$197.11	$107.01
99344 New patient home visit, typically 1 hour	33	33	$214.91	$117.54
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	27	27	$149.82	$61.59
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	25	25	$306.25	$167.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	593	59	$191.82	$107.10
11042 Removal of skin and tissue, 20.0 sq cm or less	156	38	$191.24	$106.31
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	144	43	$276.79	$156.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	124	26	$103.48	$62.44
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	51	51	$308.15	$169.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	34	18	$137.33	$89.17
99344 New patient home visit, typically 1 hour	12	12	$216.50	$120.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	464	37	$266.56	$149.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	462	151	$112.94	$57.82
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	300	119	$146.47	$75.82
11042 Removal of skin and tissue, 20.0 sq cm or less	155	28	$194.99	$108.26
99337 Established patient assisted living visit, typically 60 minutes	155	19	$288.69	$162.26
99306 Initial nursing facility visit, typically 45 minutes per day	66	66	$258.58	$138.27
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	58	32	$214.26	$111.34
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	46	16	$191.37	$106.73
11042 Removal of skin and tissue, 20.0 sq cm or less	37	29	$215.10	$51.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	32	32	$209.49	$107.83
99336 Established patient assisted living visit, typically 40 minutes	32	13	$201.18	$112.45
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	28	28	$328.04	$183.74
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$133.29	$74.32
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	13	13	$324.52	$182.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	277	33	$259.96	$151.76
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	141	20	$195.85	$109.46
11042 Removal of skin and tissue, 20.0 sq cm or less	130	25	$185.19	$110.13
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$149.00	$77.62
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	21	14	$153.00	$76.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	17	13	$117.00	$58.57
99344 New patient home visit, typically 1 hour	13	13	$278.39	$153.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	132	12	$188.19	$106.93
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	127	13	$272.45	$155.31
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$149.00	$61.06
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	15	15	$336.94	$192.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	398	60	$139.34	$58.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	268	69	$90.00	$37.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	70	18	$161.29	$77.63
99213 Established patient office or other outpatient visit, typically 15 minutes	43	42	$149.00	$61.07
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	19	19	$186.00	$76.78
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	17	$264.00	$110.67
97597 Removal of tissue from wound, 20.0 sq cm or less	13	11	$151.00	$20.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	613	108	$139.80	$58.88
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	469	114	$90.00	$37.83
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	43	43	$185.21	$77.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	39	38	$264.00	$111.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	334	84	$140.00	$58.41
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	36	20	$90.00	$37.73
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	23	$264.00	$110.42

Medical Specialties & State Licenses

CMS Verified: 2024-02-02

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License FL ARNP 9232062

Definition to come...

Hospital & Practice Group Affiliations

Hickory Care Llc

17000 Monroe Ave, Maitland, FL 32751

Phone: 4076472092

Dr Jose A Rivera Llc

850 Concourse Pkwy S, Maitland, FL 327516145

Phone: 8554794217

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location February 02, 2024

Registered at 4154 SAN YSIDRO WAY, ROCKLEDGE, FL 329555336 (Tel: 3212416244)

📍

Updated Business Mailing Address February 02, 2024

Registered at 4154 SAN YSIDRO WAY, ROCKLEDGE, FL 329555336 (Tel: 3212416244)

👤

Provider Name / Credentials Updated February 02, 2024

Recorded as SIMONE KING PAUL, ARNP-BC, WCC

✅

NPI Profile Active November 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 28, 2016

Registered at 1140 BROADBAND DR, MELBOURNE, FL 329013177 (Tel: 3213124184)

📍

Updated Business Mailing Address November 28, 2016

Registered at 1140 BROADBAND DR, MELBOURNE, FL 329012623 (Tel: 3213124184)

👤

Provider Name / Credentials Updated November 28, 2016

Recorded as SIMONE KING PAUL, ARNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2016

Nurse Practitioner (License #ARNP 9232062 in FL)

🟢

Initial NPI Registration & Enumeration October 17, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972054864

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 17, 2016

Last Update: February 02, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4154 San Ysidro Way

Rockledge, FL 329555336

Phone: 3212416244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.