MARY EVANS – Psychiatric/Mental Health Nurse Practitioner, NPI 1760143747

MARY EVANS is a healthcare provider. based in Fort payne, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-105582 (AL). The NPI Number for MARY EVANS is 1760143747

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MARY EVANS
NPI
1760143747
Phone
(256) 619-0798
Address
1103 SANDERS AVE NE
Enumeration Date
3 January 2022
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7203888263
Graduation Year
2021 (5 years ago)
PAC ID
5597268672
Group Practice PAC ID
6406398965
Professional Enrollment ID
I20260114003461
Address ID
CO801232101DE9878XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MARY EVANS

  • 1103 SANDERS AVE NE

    FORT PAYNE, AL 359673011

    Phone: (256) 619-0798

    Type: Location

  • 1103 Sanders Ave NE

    Fort Payne, AL 359673011

    Phone: (256) 619-0798

    Type: Location

  • 9878 W BELLEVIEW AVE

    DENVER, CO 801232101

    Phone: (720) 388-8263

    Fax: (720) 216-2276

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 286 Open Payments records for all available years, with a total value of $5,540.

Total Amount is formed as General ($5,540) + Research ($0) + Ownership ($0) = $5,540.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,792).

Total Amount

$5,540

General + Research + Ownership

Payments

286

Total payment records

General Amount

$5,540

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2026-01-14

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
I20260114003461INurse PractitionerCOTBD

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 35967)

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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: 6406398965View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What is the standard ID for MARY EVANS in the U.S.?
In the U.S., MARY EVANS is identified by NPI 1760143747.
Does the public listing show MARY EVANS as active?
MARY EVANS's NPI record reflects an active status in NPPES.
What type of care does MARY EVANS provide?
MARY EVANS's profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARY EVANS tied to Fort Payne, Alabama?
If you are local to Fort Payne, Alabama, MARY EVANS may be relevant to your search.
Why is information missing for MARY EVANS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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