KYLIE TWEED KUMASAKA EVANS (PA) – Physician Assistant, NPI 1649617606

KYLIE TWEED KUMASAKA EVANS (PA) is a healthcare provider. based in Sacramento, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA22965 (CA). The NPI Number for KYLIE TWEED KUMASAKA EVANS (PA) is 1649617606

Main info

Female
13 Years Of Experience
Name
KYLIE TWEED KUMASAKA EVANS (PA)
NPI
1649617606
Phone
(916) 453-4828
Address
4001 J ST
Enumeration Date
31 May 2013
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
4688161771
Professional Enrollment ID
I20251014000080
Address ID
CA956706044RA10850RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for KYLIE TWEED KUMASAKA EVANS (PA)

  • 4001 J ST

    SACRAMENTO, CA 958193626

    Phone: (916) 453-4828

    Type: Location

  • 14675 COLE RD

    GRASS VALLEY, CA 959498199

    Phone:

    Type: Mailing

  • 350 TWIN PONDS LN

    LINCOLN, CA 956489625

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $3,340.

Total Amount is formed as General ($3,340) + Research ($0) + Ownership ($0) = $3,340.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Getinge USA Sales, LLC ($2,032).

Total Amount

$3,340

General + Research + Ownership

Payments

54

Total payment records

General Amount

$3,340

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2025-10-14

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
I20251014000080IPhysician AssistantCATBD

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 95819)

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Reviews

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

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Frequently asked questions

What NPI should I save for KYLIE TWEED KUMASAKA EVANS (PA)?
Save NPI 1649617606 if you need a stable reference for KYLIE TWEED KUMASAKA EVANS (PA).
Is KYLIE TWEED KUMASAKA EVANS (PA) active in the national directory?
KYLIE TWEED KUMASAKA EVANS (PA)'s public NPI profile is in an active state.
Does KYLIE TWEED KUMASAKA EVANS (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for KYLIE TWEED KUMASAKA EVANS (PA). Clinical services aligned with this taxonomy classification.
What location shows for KYLIE TWEED KUMASAKA EVANS (PA)?
We surface Sacramento, California for KYLIE TWEED KUMASAKA EVANS (PA) based on available NPPES addresses.
How can I contact KYLIE TWEED KUMASAKA EVANS (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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