MAKENZIE EVINGER – Family Nurse Practitioner, NPI 1619609989

MAKENZIE EVINGER is a healthcare provider. based in Odessa, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2022023903 (MO). The NPI Number for MAKENZIE EVINGER is 1619609989

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MAKENZIE EVINGER
NPI
1619609989
Phone
Not provided
Address
305 N 4TH ST
Enumeration Date
27 June 2022
Last Update Date
27 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6607475588
Graduation Year
2022 (4 years ago)
PAC ID
7517336688
Group Practice PAC ID
7416931506
Professional Enrollment ID
I20221212002279
Address ID
MO640933101WA407XXRDXX327
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MAKENZIE EVINGER

  • 305 N 4TH ST

    ODESSA, MO 640761149

    Phone:

    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: 2022-12-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221212002279INurse PractitionerMOTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes10535$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2717$0
View full utilization report →

Insurance plans in this area (ZIP 64076)

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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: 7416931506View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerMO
Hematology/Oncology, Internal MedicineGA
Hospitalist, Internal MedicineTX
Orthopedic SurgeryTX
A N E S T H E S I O L O G YMO
General SurgeryMO
Emergency MedicineIL
Emergency Medicine, Family PracticeKS
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

Can I use this page to confirm MAKENZIE EVINGER's NPI?
Yes. MAKENZIE EVINGER is listed with NPI 1619609989 in the public NPI dataset.
Is MAKENZIE EVINGER listed as active for patients and plans?
The listing shows MAKENZIE EVINGER as active in the NPI system.
What is MAKENZIE EVINGER's specialty?
The listing groups MAKENZIE EVINGER with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MAKENZIE EVINGER based?
MAKENZIE EVINGER is tied to Odessa, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about MAKENZIE EVINGER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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