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SHEILA FOGEL NP
NPI 1972900231
Nurse Practitioner - Family in Overland Park, KS

Active since December 01, 2014PECOS EnrolledAccepts Medicare Assignment
5721 W 119TH ST, OVERLAND PARK, KS 66209(913) 498-6000 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sheila Fogel Np NPPES

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

SHEILA FOGEL NP (NPI 1972900231) is an individual family provider in Overland Park, Kansas, licensed in Kansas (0000000000) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972900231
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHEILA FOGELCredential: NP
Location Address5721 W 119TH STOverland Park, KS 66209-3722
Mailing Address5721 W 119th StOverland Park, KS 66209-3722 · (913) 498-6000
Phone(913) 498-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 1, 2014
✔ NPI 1972900231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KS · 0000000000
5721 W 119TH ST, Overland Park, KS 66209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.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

Sheila Fogel 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 ID7214257245
PECOS Enrollment IDI20150514002187
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

5

Medicare enrollment records show Sheila Fogel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mep Kansas LLC
1.0 mi
Emergency Medicine
12300 METCALF AVE
Overland Park, KS 66213
  • Reassigned Medicare billing, Kansas enrollment
  • 96 clinicians in this Medicare group
NPI 1730491218 (913) 317-7000
Emergency Medicine Services Of Ks, PA
4.4 mi
Emergency Medicine
10500 QUIVIRA RD
Overland Park, KS 66215
  • Reassigned Medicare billing, Kansas enrollment
  • 77 clinicians in this Medicare group
NPI 1649979451 (913) 541-5000
Emergency Medicine Care LLC
10.0 mi
Emergency Medicine
20333 W 151ST ST
Olathe, KS 66061
  • Reassigned Medicare billing, Kansas enrollment
  • 24 clinicians in this Medicare group
NPI 1356455752 (913) 791-4357
Emergency Medicine Services Of Mo, LLC
19 mi
Emergency Medicine
19600 E 39TH ST S
Independence, MO 64057
  • Reassigned Medicare billing, Missouri enrollment
  • 182 clinicians in this Medicare group
NPI 1023715182 (816) 698-7000
VA Eastern Kansas Health Care System
29 mi
Emergency Medicine
4101 S 4TH ST
Leavenworth, KS 66048
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Metro Emergency Physician LLC
  • 77 clinicians in this Medicare group
NPI 1255432951 (913) 682-2000

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
95 services94 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66209 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

DR. AURELIANE N HARDY MD
Student in an Organized Health Care Education/Training Program
5721 W 119TH ST
OVERLAND PARK, KS 66209
Johnson County (913) 498-6000
SONYA JURGENS CRNA
Nurse Anesthetist, Certified Registered
5721 W 119TH ST
OVERLAND PARK, KS 66209
Johnson County (913) 428-2900
PRIYANKA PANKAJ LEYH M.D.
Anesthesiology
5721 W 119TH ST
OVERLAND PARK, KS 66209
Johnson County (913) 428-2900
HEATHER LYNNE WHITE APRN, ACNPC-AG
Nurse Practitioner (Acute Care)
5721 W 119TH ST
OVERLAND PARK, KS 66209
Johnson County (913) 498-7367
REED TENNEY
Nurse Anesthetist, Certified Registered
5721 W 119TH ST
OVERLAND PARK, KS 66209
Johnson County (913) 428-2900
ELIZABETH ARONICA DO
Student in an Organized Health Care Education/Training Program
5721 W 119TH ST
OVERLAND PARK, KS 66209
Johnson County (913) 498-6000
MOHAMAD SHARAN MD
Student in an Organized Health Care Education/Training Program
5721 W 119TH ST
OVERLAND PARK, KS 66209
Johnson County (913) 498-6000
CHEYANNE ROSE GODWIN
Student in an Organized Health Care Education/Training Program
5721 W 119TH ST
OVERLAND PARK, KS 66209
Johnson County (913) 498-6537

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 Sheila Fogel's NPI number?

The NPI number for Sheila Fogel is 1972900231. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Where is Sheila Fogel located?

Sheila Fogel practices at 5721 W 119th St, Overland Park, KS 66209. The listed phone number is (913) 498-6000.

What is Sheila Fogel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sheila Fogel enrolled in Medicare?

Yes. Sheila Fogel 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 Sheila Fogel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Fogel reassigns Medicare benefits to 5 organizations: Mep Kansas LLC (Overland Park, KS), Emergency Medicine Services Of Ks, PA (Overland Park, KS), Emergency Medicine Care LLC (Olathe, KS), Emergency Medicine Services Of Mo, LLC (Independence, MO) and VA Eastern Kansas Health Care System (Leavenworth, KS). 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 Sheila Fogel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Fogel accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Sheila Fogel 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 Sheila Fogel affiliated with any hospitals?

According to CMS data, Sheila Fogel is affiliated with Saint Luke's South Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Fogel was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.