MRS. CYNTHIA JACKSON EVANS (CRNP) – Family Nurse Practitioner, NPI 1063870368
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MRS. CYNTHIA JACKSON EVANS (CRNP)
1303 Washington St
Marion, AL 367563217
Phone: (334) 247-1006
Fax: (334) 683-5737
Type: Location
3302 15TH ST STE 100
TUSCALOOSA, AL 354012732
Phone: (205) 558-0877
Fax: (659) 219-7033
Type: Location
405, Belcher Street, West Centreville, Centreville, Bibb County, Alabama, 35042, United States
CENTREVILLE, AL 350422946
Phone: (205) 926-2992
Type: Mailing
1303, Washington Street, Pella, Marion County, Iowa, 50219, United States
MARION, AL 367563217
Phone: (334) 247-1006
Fax: (334) 683-5737
Type: Location
PO BOX 746063
ATLANTA, GA 303746063
Phone: (312) 733-0373
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $347.
Total Amount is formed as General ($347) + Research ($0) + Ownership ($0) = $347.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Inari Medical, Inc. ($347).
Total Amount
$347
General + Research + Ownership
Payments
3
Total payment records
General Amount
$347
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $347 |
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: 2016-03-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160322000649 | I | Nurse Practitioner | AL | TBD |
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.
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 36756)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | AL | |
| Family Practice | AL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| General Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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