ADELAIDE EVANS – Emergency Medicine Physician, NPI 1114968138

ADELAIDE EVANS is a healthcare provider. based in Everett, Massachusetts. specializing in EMERGENCY MEDICINE. They hold a License No. 210692 (MA). The NPI Number for ADELAIDE EVANS is 1114968138

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
ADELAIDE EVANS
NPI
1114968138
Phone
(617) 389-6270
Address
103 GARLAND ST
Enumeration Date
9 June 2006
Last Update Date
2 December 2011

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
6176672000
Graduation Year
1998 (28 years ago)
PAC ID
4981616638
Group Practice PAC ID
8123936119
Professional Enrollment ID
I20060620000037
Address ID
MA022155400BO330XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

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Provider Addresses for ADELAIDE EVANS

  • CHA Everett Hospital, 103, Garland Street, Glendale, Everett, Middlesex County, Massachusetts, 02149, United States

    EVERETT, MA 021495066

    Phone: (617) 389-6270

    Mailing address matches the actual address.

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: 2006-06-20

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
I20060620000037IEmergency MedicineMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes219216$0
99213Established patient office or other outpatient visit, 20-29 minutes9793$0
81003Automated urinalysis test5453$0
99204New patient office or other outpatient visit, 45-59 minutes4747$0
87804Detection test by immunoassay with direct visual observation for influenza virus4223$0
View full utilization report →

Insurance plans in this area (ZIP 02149)

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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: 8123936119View full group profile
NameSpecialtyState
Emergency MedicineMA
Emergency MedicineNY
Emergency MedicineMA
Internal MedicineMA
P S Y C H I A T R YMA
Internal Medicine, EndocrinologyMA
Emergency Medicine, Medical ToxicologyMA
Emergency MedicineMA
Emergency MedicineMA
-MA

Reviews

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Frequently asked questions

Can I use this page to confirm ADELAIDE EVANS's NPI?
Yes. ADELAIDE EVANS is listed with NPI 1114968138 in the public NPI dataset.
Does the file indicate ADELAIDE EVANS is practicing under active NPI?
Directory data currently reports ADELAIDE EVANS as active.
What taxonomy line describes ADELAIDE EVANS?
For research purposes, treat ADELAIDE EVANS as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ADELAIDE EVANS on a map?
Expect Everett, Massachusetts as a primary anchor for ADELAIDE EVANS unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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