SHEARITA SANDOVAL ANP- BC
NPI 1053705392
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment
3113 MAGNOLIA AVE, APT 2E, SAINT LOUIS, MO 63118(314) 749-6708 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2025, Jul 24, 2017 (2 updates tracked since 2017).

About Shearita Sandoval Anp- Bc NPPES

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

SHEARITA SANDOVAL ANP- BC (NPI 1053705392) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2014043293) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Florissant.

NPPES Registry Identity

NPI1053705392
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHEARITA SANDOVALCredential: ANP- BC
Location Address3113 MAGNOLIA AVE, APT 2ESaint Louis, MO 63118-1271
Mailing Address5471 Dr. Martin Luther King Dr.Saint Louis, MO 63112-4265 · (314) 367-5820 · Fax (314) 367-6326
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 25, 2015
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1053705392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2014043293
3113 MAGNOLIA AVE, Saint Louis, MO 63118

Secondary Practice Location 1

Location 1472 N Highway 67 StFlorissant, MO 63031-5102 · Phone (314) 343-5061

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shearita Sandoval Anp- Bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385958206
PECOS Enrollment IDI20150805007211
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shearita Sandoval reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
3451 UNION BLVD
Saint Louis, MO 63115
  • Reassigned Medicare billing, Missouri enrollment
  • 33 clinicians in this Medicare group
Public Health, State or Local
6121 N HANLEY RD
Saint Louis, MO 63134
  • Reassigned Medicare billing, Missouri enrollment
  • 46 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shearita Sandoval's NPI number?

The NPI number for Shearita Sandoval is 1053705392. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Shearita Sandoval located?

Shearita Sandoval practices at 3113 Magnolia Ave Apt 2E, Saint Louis, MO 63118. The listed phone number is (314) 749-6708.

What is Shearita Sandoval's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shearita Sandoval enrolled in Medicare?

Yes. Shearita Sandoval is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shearita Sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shearita Sandoval reassigns Medicare benefits to 2 organizations: Oak Street Health Physicians Group Of Missouri, LLC (Saint Louis, MO) and County Of St Louis Division Of Fiscal Management (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shearita Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shearita Sandoval affiliated with any hospitals?

According to CMS data, Shearita Sandoval is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Shearita Sandoval was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.