EVELINE GWAABE – Nurse Practitioner, NPI 1659813483

EVELINE GWAABE is a healthcare provider. based in Enfield, Connecticut. specializing in NURSE PRACTITIONER. They hold a License No. 10832 (CT). The NPI Number for EVELINE GWAABE is 1659813483

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
EVELINE GWAABE
NPI
1659813483
Phone
(860) 253-9024
Address
5 N MAIN ST
Enumeration Date
10 November 2016
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602243642
Graduation Year
2015 (11 years ago)
PAC ID
2264816826
Group Practice PAC ID
0547169138
Professional Enrollment ID
I20240605001227
Address ID
CT060511803NE85XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for EVELINE GWAABE

  • 5 N MAIN ST

    ENFIELD, CT 060823372

    Phone: (860) 253-9024

    Type: Mailing

  • NIH Clinical Center, 10, Center Drive, National Institutes of Health, Maplewood, Bethesda, Montgomery County, Maryland, 20892, United States

    NIH, NHLBI/SICKLE CELL BRANCH, BLDG 10

    BETHESDA, MD 208921151

    Phone: (301) 443-3695

    Type: Location

  • 8 DELAY STREET

    NIH, NHLBI/SICKLE CELL BRANCH, BLDG 10

    DANBURY, CT 068108014

    Phone: (860) 347-6971

    Type: Location

  • 4906, Wallingford Place, Cambridge Farms, Jefferson, Frederick County, Maryland, 21755, United States

    JEFFERSON, MD 217558423

    Phone: (443) 367-8686

    Type: Mailing

  • 8 DELAY ST

    DANBURY, CT 068106654

    Phone: (203) 797-8330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

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: 2024-06-05

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
I20240605001227INurse PractitionerCTTBD

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 06082)

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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: 0547169138View full group profile
NameSpecialtyState
Family PracticeCT
Nurse PractitionerMA
Mental Health CounselorCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Certified Nurse Midwife (Cnm)CT
Clinical PsychologistCT
Nurse PractitionerCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

What number should I use to identify EVELINE GWAABE for billing?
Administrative and clinical systems typically use NPI 1659813483 for EVELINE GWAABE.
Should I treat EVELINE GWAABE as an active provider?
Patients and plans typically see EVELINE GWAABE as active in the national extract.
Which specialty label fits EVELINE GWAABE?
NPPES ties EVELINE GWAABE to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is EVELINE GWAABE tied to Enfield, Connecticut?
If you are local to Enfield, Connecticut, EVELINE GWAABE may be relevant to your search.
Why is information missing for EVELINE GWAABE?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.