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DR. ELLEN ANN SEVENICH M.D.
NPI 1871842328
Family Medicine in St. Louis Park, MN

Active since August 30, 2012PECOS Enrolled
3850 PARK NICOLLET AVE, ST. LOUIS PARK, MN 55416(651) 993-3123 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Ellen Ann Sevenich M.d. NPPES

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

DR. ELLEN ANN SEVENICH M.D. (NPI 1871842328) is an individual family medicine provider in St. Louis Park, Minnesota, licensed in Minnesota (37235) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871842328
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELLEN ANN SEVENICHCredential: M.D.
Location Address3850 PARK NICOLLET AVESt. Louis Park, MN 55416
Mailing Address2335 Stewart Ave., 217St. Paul, MN 55116 · (651) 698-4522
Phone(651) 993-3123
Sole ProprietorNo
Enumeration DateAugust 30, 2012
✔ NPI 1871842328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 37235
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3850 PARK NICOLLET AVE, St. Louis Park, MN 55416
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ellen Ann Sevenich M.d. 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.

Medicare Billing Reassignments

2

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

Park Nicollet Clinic
Same address
Family Medicine
3800 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1063897593 (952) 993-3123
West Side Community Health Services, Inc.
4.4 mi
Federally Qualified Health Center (FQHC)
2606 CHICAGO AVE
Minneapolis, MN 55407
  • Reassigned Medicare billing, Minnesota enrollment
  • 101 clinicians in this Medicare group
NPI 1336015304 (651) 602-7500

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 55416 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 Ellen Sevenich's NPI number?

The NPI number for Ellen Sevenich is 1871842328. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Ellen Sevenich located?

Ellen Sevenich practices at 3850 Park Nicollet Ave, St. Louis Park, MN 55416. The listed phone number is (651) 993-3123.

What is Ellen Sevenich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ellen Sevenich enrolled in Medicare?

Yes. Ellen Sevenich is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ellen Sevenich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Sevenich reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (St Louis Park, MN) and West Side Community Health Services, Inc. (Minneapolis, MN). 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 Ellen Sevenich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellen Sevenich was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.