JENNY A EVANS (PA) – Physician Assistant, NPI 1649365610

JENNY A EVANS (PA) is a healthcare provider. based in Lawrence, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1857 (MA). The NPI Number for JENNY A EVANS (PA) is 1649365610

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JENNY A EVANS (PA)
NPI
1649365610
Phone
(978) 557-8900
Address
500 MERRIMACK ST
Enumeration Date
4 October 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9785578900
Graduation Year
2004 (22 years ago)
PAC ID
5991756793
Group Practice PAC ID
1759273436
Professional Enrollment ID
I20050209000740
Address ID
MA018431981LA500XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for JENNY A EVANS (PA)

  • Jimmy John's, 500, Merrimack Street, Lawrence, Essex County, Massachusetts, 01843, United States

    LAWRENCE, MA 018431756

    Phone: (978) 557-8900

    Fax: (978) 557-8633

    Type: Mailing

  • 360, Merrimack Street, Lawrence, Essex County, Massachusetts, 01842, United States

    LAWRENCE, MA 018431740

    Phone: (978) 557-8800

    Fax: (978) 557-8633

    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: 2007-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050209000740IPhysician AssistantMATBD
I20070130000521IPhysician AssistantNHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes127123$0
99214Established patient office or other outpatient visit, 30-39 minutes7571$0
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc4948$0
87502Detection test by nucleic acid for multiple types influenza virus4848$0
81002Urinalysis, manual test3734$0
View full utilization report →

Insurance plans in this area (ZIP 01843)

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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: 1759273436View full group profile
NameSpecialtyState
P A T H O L O G YMA
Nurse PractitionerNY
Diagnostic RadiologyME
Physician AssistantMA
Diagnostic RadiologyMI
Diagnostic RadiologyMA
Diagnostic RadiologyOH
P A T H O L O G YMA
Family Practice, Osteopathic Manipulative MedicineMA
Diagnostic Radiology, Interventional RadiologyNY

Reviews

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Frequently asked questions

What number should I use to identify JENNY A EVANS (PA) for billing?
Administrative and clinical systems typically use NPI 1649365610 for JENNY A EVANS (PA).
Is JENNY A EVANS (PA)'s NPI status active today?
Active status means JENNY A EVANS (PA)'s NPI record is not deactivated in the public file.
What does the directory say JENNY A EVANS (PA) does?
Insurance directories may phrase it differently, but here JENNY A EVANS (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNY A EVANS (PA)?
JENNY A EVANS (PA) shows a connection to Lawrence, Massachusetts in registry-derived data.
Can I export JENNY A EVANS (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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