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DR. SAMUEL GERVAIS DPM
NPI 1396150793
Podiatrist - Foot & Ankle Surgery in Anoka, MN

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
601 JACOB LN, ANOKA, MN 55303(763) 587-4200(763) 587-4205 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2021, May 2, 2019, May 23, 2017 (3 updates tracked since 2017).

About Dr. Samuel Gervais Dpm NPPES

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

DR. SAMUEL GERVAIS DPM (NPI 1396150793) is an individual foot & ankle surgery provider in Anoka, Minnesota, licensed in Minnesota (964) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1396150793
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. SAMUEL GERVAISCredential: DPM
Location Address601 JACOB LNAnoka, MN 55303
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516 · (763) 587-4200 · Fax (763) 587-4205
Phone(763) 587-4200
Fax(763) 587-4205
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 24, 2014
Last NPPES UpdateApril 29, 20213 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1396150793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MN · 964
601 JACOB LN, Anoka, MN 55303
Open in Google Maps ↗

Secondary Practice Location 1

Location 12220 Riverside AveMinneapolis, MN 55454-1321 · Phone (612) 341-5000 · Fax (612) 371-1673

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Gervais Dpm 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 ID6103123559
PECOS Enrollment IDI20170816003271
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.

Areas of Expertise CMS Part B claims 5

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
80 services49 patients
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.
48 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services14 patients

Hospital Affiliations CMS Care Compare

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

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.

LINDSEY MARIE RYDLUND PA-C
Physician Assistant
601 JACOB LN
ANOKA, MN 55303
Anoka County (783) 587-4200
DR. HEATHER P GAMMON M.D
Obstetrics & Gynecology
601 JACOB LN
ANOKA, MN 55303
Anoka County (763) 587-4200
DANA MARIE FEIA PA-C
Physician Assistant
601 JACOB LN
ANOKA, MN 55303
Anoka County (763) 587-4200
DR. AUDRA L MINTZ DPM
Podiatrist (Foot & Ankle Surgery)
601 JACOB LN
ANOKA, MN 55303
Anoka County (763) 587-4200
AMANDA MARIE SCHROEPFER PHARMD
Pharmacist
601 JACOB LN
ANOKA, MN 55303
Anoka County (763) 421-5540
EMILY K HULKE
Pharmacist
601 JACOB LN
ANOKA, MN 55303
Anoka County (763) 421-5540
NICOLE SUE NELSEN
Nurse Practitioner
601 JACOB LN
ANOKA, MN 55303
Anoka County (763) 587-4400
REKHA R MAGAR MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
601 JACOB LN
ANOKA, MN 55303
Anoka County (763) 587-4200

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 Samuel Gervais's NPI number?

The NPI number for Samuel Gervais is 1396150793. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Samuel Gervais located?

Samuel Gervais practices at 601 Jacob Ln, Anoka, MN 55303. The listed phone number is (763) 587-4200.

What is Samuel Gervais's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Samuel Gervais enrolled in Medicare?

Yes. Samuel Gervais 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.

What insurance does Samuel Gervais accept?

Health plans from HealthPartners and Medica list Samuel Gervais as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Gervais affiliated with any hospitals?

According to CMS data, Samuel Gervais is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Gervais was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.