EVAN ALEXANDER JENKINS (MD) – Emergency Medicine Physician, NPI 1225650773

EVAN ALEXANDER JENKINS (MD) is a healthcare provider. based in Springfield, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 125075839 (IL). The NPI Number for EVAN ALEXANDER JENKINS (MD) is 1225650773

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
EVAN ALEXANDER JENKINS (MD)
NPI
1225650773
Phone
(217) 545-3518
Address
PO BOX 19679
Enumeration Date
7 May 2020
Last Update Date
7 May 2020

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2177883156
Graduation Year
2020 (6 years ago)
PAC ID
4880018407
Group Practice PAC ID
5193627727
Professional Enrollment ID
I20230721000643
Address ID
IL627813757SP701XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for EVAN ALEXANDER JENKINS (MD)

  • PO BOX 19679

    SPRINGFIELD, IL 627949679

    Phone: (217) 545-3518

    Fax: (217) 545-2711

    Type: Mailing

  • 701 N 1ST ST STE 220

    SPRINGFIELD, IL 627023757

    Phone: (217) 545-3518

    Fax: (217) 545-2711

    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: 2023-07-21

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
I20230721000643IEmergency MedicineILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making7573$0
99284Emergency department visit with moderate level of medical decision making1918$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 62794)

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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: 5193627727View full group profile
NameSpecialtyState
Nurse PractitionerIL
Emergency MedicineIL
Emergency MedicineIL
-IL
Emergency MedicineIL
Emergency MedicineIL
-IL
Emergency MedicineOH
Nurse PractitionerIL
Emergency MedicineIL

Reviews

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Frequently asked questions

What unique ID ties claims to EVAN ALEXANDER JENKINS (MD)?
NPI 1225650773 is assigned to EVAN ALEXANDER JENKINS (MD) under the national enumeration system.
Is EVAN ALEXANDER JENKINS (MD)'s NPI currently valid?
The extract we use shows EVAN ALEXANDER JENKINS (MD) as active.
Can you summarize EVAN ALEXANDER JENKINS (MD)'s specialty in plain language?
Clinically, the directory lists EVAN ALEXANDER JENKINS (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does EVAN ALEXANDER JENKINS (MD) practice in Illinois?
You will see Springfield, Illinois on file for EVAN ALEXANDER JENKINS (MD) alongside any extra practice locations.
Is EVAN ALEXANDER JENKINS (MD) a real provider?
This page reflects official NPPES data for NPI 1225650773. Always confirm identity and privileges with the practice and licensing boards.

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