EVAN CLAGGETT DO
NPI 1205620994
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Q: What is Evan Claggett's NPI number?

The NPI number for Evan Claggett is 1205620994. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Q: What is Evan Claggett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evan Claggett was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 07, 2025PECOS Enrolled

25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503(616) 391-3777 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Apr 7, 2025 (2 updates tracked since 2025).

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About Evan Claggett Do NPPES

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

EVAN CLAGGETT DO (NPI 1205620994) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205620994

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameEVAN CLAGGETTCredential: DO

Location Address25 MICHIGAN ST NE STE 2100Grand Rapids, MI 49503-2526

Mailing Address25 Michigan St Ne Ste 2100Grand Rapids, MI 49503-2526 · (616) 391-3777

Phone(616) 391-3777

Sole ProprietorNo

Enumeration DateApril 7, 2025

Last NPPES UpdateJune 19, 20252 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1205620994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5151017361 (MI)

25 MICHIGAN ST NE STE 2100, Grand Rapids, MI 49503

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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 Claggett Do 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY ELEANOR KELSH PHARMD

Pharmacist (Ambulatory Care)