SHEARITA SANDOVAL (ANP- BC) – Adult Health Nurse Practitioner, NPI 1053705392

SHEARITA SANDOVAL (ANP- BC) is a healthcare provider. based in Florissant, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP- BC. They hold a License No. 2014043293 (MO). The NPI Number for SHEARITA SANDOVAL (ANP- BC) is 1053705392

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SHEARITA SANDOVAL (ANP- BC)
NPI
1053705392
Phone
(314) 343-5061
Address
472 N Highway 67 St
Enumeration Date
25 March 2015
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149671465
Graduation Year
2013 (13 years ago)
PAC ID
4385958206
Group Practice PAC ID
7315340213
Professional Enrollment ID
I20150805007211
Address ID
MO630315102FL472XXSTXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for SHEARITA SANDOVAL (ANP- BC)

  • 472 N Highway 67 St

    Florissant, MO 630315102

    Phone: (314) 343-5061

    Type: Location

  • 5471 DR. MARTIN LUTHER KING DR.

    SAINT LOUIS, MO 631124265

    Phone: (314) 367-5820

    Fax: (314) 367-6326

    Type: Mailing

  • 3113 MAGNOLIA AVE

    APT 2E

    SAINT LOUIS, MO 631181271

    Phone: (314) 749-6708

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-07-27 • Largest payer in this snapshot: Exact Sciences Corporation ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-08-05

PECOS data refreshed: 2026-05-27

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
I20150805007211INurse PractitionerMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
80053Blood test, comprehensive group of blood chemicals2518$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2417$0
80061Blood test, lipids (cholesterol and triglycerides)2115$0
81001Manual urinalysis test with examination using microscope, automated1914$0
View full utilization report →

Insurance plans in this area (ZIP 63031)

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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: 7315340213View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Emergency Medicine, Family Practice, Preventive MedicineGA
Nurse PractitionerKS
Internal MedicineIL
Nurse PractitionerMO

Reviews

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Frequently asked questions

What NPI should I save for SHEARITA SANDOVAL (ANP- BC)?
Save NPI 1053705392 if you need a stable reference for SHEARITA SANDOVAL (ANP- BC).
Is SHEARITA SANDOVAL (ANP- BC)'s NPI currently valid?
The extract we use shows SHEARITA SANDOVAL (ANP- BC) as active.
What kind of provider is SHEARITA SANDOVAL (ANP- BC)?
The page reflects Adult Health Nurse Practitioner for SHEARITA SANDOVAL (ANP- BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHEARITA SANDOVAL (ANP- BC)?
The page summarizes Florissant, Missouri for SHEARITA SANDOVAL (ANP- BC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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