ANGELINA DENISE EVANS (APRN) – Nurse Practitioner, NPI 1104029107
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for ANGELINA DENISE EVANS (APRN)
1658 St Vincents Way Ste 240
Middleburg, FL 320688459
Phone: (904) 449-7288
Fax: (904) 203-2173
Type: Location
1200 Riverplace Blvd
Suite: 620
Jacksonville, FL 322079046
Phone: (904) 396-6620
Fax: (904) 396-6528
Type: Location
PO BOX 45443
SALT LAKE CITY, UT 841450443
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
PO BOX 746638
ATLANTA, GA 303746638
Phone: (904) 202-2092
Fax: (904) 376-4075
Type: Mailing
Prudential Drive, Jacksonville, Duval County, Florida, 32202, United States
JACKSONVILLE, FL 322078205
Phone: (904) 202-3860
Fax: (904) 202-3846
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-10-12
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 |
|---|---|---|---|---|
| I20071012000670 | I | Nurse Practitioner | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 116 | 108 | $0 |
Insurance plans in this area (ZIP 32068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| H O S P I T A L I S T | UT | |
| - | UT | |
| Hospitalist, Internal Medicine | VA | |
| Internal Medicine | GA | |
| Family Practice | UT | |
| Hospitalist, Internal Medicine | FL | |
| H O S P I T A L I S T | UT | |
| R H E U M A T O L O G Y | UT | |
| Hospitalist, Internal Medicine | FL |
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