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Active NPI 1053497206 Individual Practitioner Female Practitioner

Renee Simone , APRN, LICSW, LADC I

Nurse Practitioner - Primary Care • Chicopee, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Renee Simone, APRN, LICSW, LADC I is a certified Nurse Practitioner - Primary Care practicing in Chicopee, MA. With approximately 9 years of clinical experience since completing medical education in 2017, Renee Simone delivers high-quality medical care to the local community at 71 MARY ST.

Renee Simone is affiliated with Change Happens, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy with evaluation and management visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

71 Mary St

Chicopee, MA 010201139

Telephone 4135361918
Fax 4135368078
Associated Practice Facility / Clinic
🏢 Change Happens, Inc Facility NPI 1831359603

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Chicopee, MA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 8.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Chicopee, MA (377 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simone (9 Years) 9 Yrs
Chicopee Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90833 Psychotherapy with evaluation and management visit, 30 minutes
17 11 $125.00 $59.64

Medical Specialties & State Licenses

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License CT 7234

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License MA 1181

Definition to come...

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License MA 111795

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License MA MS1125839N

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1853171 (MA)
Medicaid State Provider ID
1053497206 (CT)
Commercial Insurance / Payer ID Aetna
861096515 (MA)
Commercial Insurance / Payer ID Cigna
2197528 (MA)
Commercial Insurance / Payer ID Magellan
726247000 (MA)
Commercial Insurance / Payer ID Bc/bs
P08297 (MA)
Commercial Insurance / Payer ID Nhp
1036490 (MA)

Hospital & Practice Group Affiliations

Change Happens, Inc

71 Mary St, Chicopee, MA 010201139

Phone: 4135361918

Secondary Practice Locations

281 Main St

East Hartford, CT 061181823

Phone: 8605695900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Douglas Foresta , LICSW

Social Worker - Clinical

NPI 1124238415

Licensed Independent Clinical Social Worker

Courtney Bordo , MSN, CNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1770338154

Master of Science in Nursing, Certified Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Business Mailing Address May 29, 2019

Registered at 71 MARY ST STE 1802, CHICOPEE, MA 010201139 (Tel: 9197936862)

NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 25, 2018

Registered at 111 FOUNDERS PLZ, STE 1802, EAST HARTFORD, CT 061088301 (Tel: 8605695900)

📍
Updated Practice Location January 25, 2018

Registered at 71 MARY ST, CHICOPEE, MA 010201139 (Tel: 4135361918)

👤
Provider Name / Credentials Updated January 25, 2018

Recorded as RENEE SIMONE, APRN, LICSW, LADC I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Counselor (License #1181 in MA)

👤
Provider Name / Credentials Updated November 07, 2017

Recorded as RENEE SIMONE, APRN, LICSW, LADC I

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 71 MARY ST, CHICOPEE, MA 010201139 (Tel: 4135361918)

📍
Updated Business Mailing Address July 09, 2007

Registered at 71 MARY ST, CHICOPEE, MA 010201139 (Tel: 4135361918)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RENEE SIMONE, LICSW, LADC I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #1181 in MA)

🟢
Initial NPI Registration & Enumeration October 31, 2006

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: 1053497206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2006
Last Update: May 29, 2019
Sole Proprietor: Yes

Mailing Address

71 Mary St Ste 1802

Chicopee, MA 010201139

Phone: 9197936862

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.