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EVAN MERRICK SEMBELL MD
NPI 1053001057
Student in an Organized Health Care Education/Training Program in St. Louis, MO

Active since May 11, 2023PECOS Enrolled
1402 S. GRAND, M260, ST. LOUIS, MO 63104(314) 617-2919 Get Directions Write a Review

NPPES record last updated: March 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Merrick Sembell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN MERRICK SEMBELL MD (NPI 1053001057) is an individual student in an organized health care education/training program in St. Louis, Missouri and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053001057
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN MERRICK SEMBELLCredential: MD
Location Address1402 S. GRAND, M260St. Louis, MO 63104
Mailing Address816 E Lake Shore DrSpringfield, IL 62712-8966 · (217) 725-7056
Phone(314) 617-2919
Sole ProprietorNo
Enumeration DateMay 11, 2023
Last NPPES UpdateMarch 17, 2024
NPPES CertifiedMarch 17, 2024
✔ NPI 1053001057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1402 S. GRAND, M260, St. Louis, MO 63104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Merrick Sembell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Sembell's NPI number?

The NPI number for Evan Sembell is 1053001057. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Evan Sembell located?

Evan Sembell practices at 1402 S. Grand, M260, St. Louis, MO 63104. The listed phone number is (314) 617-2919.

What is Evan Sembell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Evan Sembell enrolled in Medicare?

Yes. Evan Sembell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Sembell was last updated on March 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.