Individual provider Active NPI

Samuel Evers, MD

  • Emergency Medicine Physician
  • Eau Claire, WI
National Provider Identifier
1700204385
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
66751 Issued in WI
Practice address
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone
(715) 838-3635
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 66751 WI Primary

Addresses

Primary practice location

1400 Bellinger St
Eau Claire, WI 54703-5222

Mailing address

PO Box 1510
Eau Claire, WI 54702-1510
Phone (715) 838-3635

Other practice location 1

2116 Craig Rd
Eau Claire, WI 54701-6118
Phone (715) 387-5511

Other practice location 2

Geisinger Medical Center 100 North Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6593

Other practice location 3

Geisinger Medical Center 100 North Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6593

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address severs23459@ehrdirect.mayoclinicmsg.org
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712002967 WI Practitioner - Emergency Medicine 5698070894 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo Clinic Health System-Northwest Wisconsin Region IncGroup PAC ID 4385553627, shared by 21 NPIs, 797 clinicians

Practice addresses (Care Compare)

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66751WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 12, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 12, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Sep 12, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 12, 2024 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jul 10, 2017 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jul 10, 2017 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Current Accepting new patients
Memorial Hospital Inc CurrentSince Sep 12, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Sep 12, 2024 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 12, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 12, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 12, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 12, 2024 Accepting new patients

Locations

1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500

800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

13025 8th St
Osseo, WI 54758
Phone (715) 597-2575

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: severs23459@ehrdirect.mayoclinicmsg.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1700204385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547021510",
            "telephone_number": "715-838-3635",
            "fax_number": "570-271-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BELLINGER ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035222",
            "telephone_number": "715-838-3635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 Craig Rd",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016118",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Geisinger Medical Center 100 North Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178229800",
            "country_code": "US",
            "telephone_number": "570-271-6593",
            "fax_number": "570-271-5933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Geisinger Medical Center 100 North Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178229800",
            "country_code": "US",
            "telephone_number": "570-271-6593",
            "fax_number": "570-271-5933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERS",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "66751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "severs23459@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1400 Bellinger St",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547035222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2116 Craig Rd",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.