Evernorth Care Providers - Arizona PC
NPI 1508627985ActiveOrganization· General Practice· Sioux Falls, SD
General Practice in Sioux Falls, South Dakota, registered in NPPES in January 2024. The authorized official on file is Grace Blue, Credentialing Sr. Manager.
Overview
| NPI | 1508627985 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2024 |
| Last updated in NPPES | Jan 22, 2024 |
| Certified by provider | Jan 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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