SENA RAE ST JOHN (D.O.) – Internal Medicine Physician, NPI 1437443033

SENA RAE ST JOHN (D.O.) is a healthcare provider. based in Ionia, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101019485 (MI). The NPI Number for SENA RAE ST JOHN (D.O.) is 1437443033

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SENA RAE ST JOHN (D.O.)
NPI
1437443033
Phone
(616) 523-1600
Address
550 E WASHINGTON ST
Enumeration Date
1 June 2011
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9094275000
Graduation Year
2011 (15 years ago)
PAC ID
8921226036
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20180109001106
Address ID
CA923356720FO9961XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

7,232 INTERNAL MEDICINE in MI

Provider Addresses for SENA RAE ST JOHN (D.O.)

  • 550 E WASHINGTON ST

    IONIA, MI 488462202

    Phone: (616) 523-1600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180109001106IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48846)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

Can I use this page to confirm SENA RAE ST JOHN (D.O.)'s NPI?
Yes. SENA RAE ST JOHN (D.O.) is listed with NPI 1437443033 in the public NPI dataset.
Is SENA RAE ST JOHN (D.O.) still practicing?
SENA RAE ST JOHN (D.O.) is currently listed as active in the public NPI registry.
What is SENA RAE ST JOHN (D.O.) best known for clinically?
Directory data describes SENA RAE ST JOHN (D.O.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is SENA RAE ST JOHN (D.O.) based?
SENA RAE ST JOHN (D.O.) is tied to Ionia, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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