EMILY SEBALJA NP
NPI 1497617336
Nurse Practitioner in Saint Louis, MO

Active since December 01, 2025PECOS EnrolledAccepts Medicare Assignment
3023 N BALLAS RD STE 200D, SAINT LOUIS, MO 63131(314) 996-7272(314) 996-6785 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emily Sebalja Np NPPES

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

EMILY SEBALJA NP (NPI 1497617336) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2026007970) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1497617336
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEMILY SEBALJACredential: NP
Location Address3023 N BALLAS RD STE 200DSaint Louis, MO 63131-2328
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (314) 996-7272 · Fax (314) 996-6785
Fax(314) 996-6785
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 1, 2025
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1497617336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2026007970
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3023 N BALLAS RD STE 200D, Saint Louis, MO 63131

Secondary Practice Locations 2

Location 13023 N Ballas Rd Ste 200DSaint Louis, MO 63131-2328 · Phone (314) 996-7272 · Fax (314) 996-6785
Location 213944 Reflection Dr Apt 136Ballwin, MO 63021-8053 · Phone (314) 640-0988 · Fax (314) 640-0988

Accepted Insurance

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

Emily Sebalja Np 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 ID3870067374
PECOS Enrollment IDI20260707000394
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 Reassignment

Medicare enrollment records show Emily Sebalja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 611 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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.

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.

Internal Medicine (Interventional Cardiology)
3023 N BALLAS RD STE 200D
SAINT LOUIS, MO 63131
Physician Assistant
3023 N BALLAS RD STE 200D
SAINT LOUIS, MO 63131
Internal Medicine (Interventional Cardiology)
3023 N BALLAS RD STE 200D
SAINT LOUIS, MO 63131
Physician Assistant
3023 N BALLAS RD STE 200D
SAINT LOUIS, MO 63131
Physician Assistant
3023 N BALLAS RD STE 200D
SAINT LOUIS, MO 63131
Internal Medicine (Interventional Cardiology)
3023 N BALLAS RD STE 200D
SAINT LOUIS, MO 63131
Internal Medicine (Interventional Cardiology)
3023 N BALLAS RD STE 200D
SAINT LOUIS, MO 63131
Internal Medicine (Interventional Cardiology)
3023 N BALLAS RD STE 200D
SAINT LOUIS, MO 63131

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 Emily Sebalja's NPI number?

The NPI number for Emily Sebalja is 1497617336. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Emily Sebalja located?

Emily Sebalja practices at 3023 N Ballas Rd Ste 200D, Saint Louis, MO 63131. The listed phone number is (314) 996-7272.

What is Emily Sebalja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Emily Sebalja enrolled in Medicare?

Yes. Emily Sebalja 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 organization bills Medicare for Emily Sebalja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Sebalja reassigns Medicare benefits to Physician Groups Lc (Saint Louis, MO). The 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 Emily Sebalja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Sebalja accept?

Health plans from UnitedHealthcare list Emily Sebalja 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.

When was this NPI record last updated?

The NPPES record for Emily Sebalja was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.