EMILY EWERT – Medical Physician Assistant, NPI 1205390119

EMILY EWERT is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold a License No. 2021010819 (MO). The NPI Number for EMILY EWERT is 1205390119

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
EMILY EWERT
NPI
1205390119
Phone
Not provided
Address
6420 CLAYTON RD
Enumeration Date
24 January 2019
Last Update Date
14 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
6364962000
Graduation Year
2020 (6 years ago)
PAC ID
5991113441
Group Practice PAC ID
7810800737
Professional Enrollment ID
I20210421001814
Address ID
MO630262394FE1015XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Loading map...

Provider Addresses for EMILY EWERT

  • 6420 CLAYTON RD

    SAINT LOUIS, MO 631171811

    Phone:

    Type: Mailing

  • UMKC School of Medicine, 2401, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States

    2411 HOMES STREET

    KANSAS CITY, MO 64108

    Phone: (913) 952-6002

    Type: Mailing

  • 9504, West 162nd Street, Overland Park, Johnson County, Kansas, 66085, United States

    OVERLAND PARK, KS 660859103

    Phone: (913) 952-6002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Gilead Sciences, Inc. ($145).

Total Amount

$191

General + Research + Ownership

Payments

5

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

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: 2021-04-21

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
I20210421001814IPhysician AssistantMOTBD

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 63117)

Loading plans...

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: 7810800737View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal MedicineMO
-MO
N E U R O L O G YMO
Plastic And Reconstructive SurgeryOH
A N E S T H E S I O L O G YMO
-MO
-MO
Nurse PractitionerMO
-MO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify EMILY EWERT with an NPI only?
You can start verification with NPI 1205390119 for EMILY EWERT, then check state licensing separately.
Can I rely on EMILY EWERT being an active provider?
As of the registry snapshot, EMILY EWERT is marked active.
What is EMILY EWERT's primary classification?
Medical Physician Assistant is the headline specialty for EMILY EWERT here. Clinical services aligned with this taxonomy classification.
Where should I expect EMILY EWERT on a map?
Expect Saint Louis, Missouri as a primary anchor for EMILY EWERT unless the record lists multiple sites.
Why does EMILY EWERT have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

KEITH KRAUSE (PA-C)

Medical Physician Assistant
Woodcrest Executive Drive, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1336130533

KAREN PLATT (PA-C)

Medical Physician Assistant
Saint Johns Mercy Medical Center, 615, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1861465643

TERRI L KOLKER (PA-C)

Physician Assistant
3009 N Ballas Rd
NPI: 1043285638

TODD PARKER (PA-C)

Medical Physician Assistant
12125, Woodcrest Executive Drive, Creve Coeur, Saint Louis County, Missouri, 63141, United States
NPI: 1366417552
3691 RUTGER AVE
NPI: 1548238397
3691 RUTGER AVE
NPI: 1306814199

MR. KENNETH MICHAEL OLSON (P.A. - C)

Medical Physician Assistant
840, Castleaire Parkway, Golden Gables, Mehlville, Saint Louis County, Missouri, 63129, United States
NPI: 1649232877

MRS. ASEEMA -- SONGSTAD (PA-C)

Medical Physician Assistant
324, Panhurst Court, Westbrooke Woods Addition, Ballwin, Saint Louis County, Missouri, 63021, United States
NPI: 1760446249