KENYATTA EVANS (M.D.) – Emergency Medicine Physician, NPI 1972816106

KENYATTA EVANS (M.D.) is a healthcare provider. based in Florissant, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2010021896 (MO). The NPI Number for KENYATTA EVANS (M.D.) is 1972816106

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
KENYATTA EVANS (M.D.)
NPI
1972816106
Phone
Not provided
Address
1256 PARMER DR
Enumeration Date
16 July 2010
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6512430811
Graduation Year
2010 (16 years ago)
PAC ID
2163663394
Group Practice PAC ID
6103739131
Professional Enrollment ID
I20130730000656
Address ID
CA925554802MO27300AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

Provider Addresses for KENYATTA EVANS (M.D.)

  • 1256 PARMER DR

    FLORISSANT, MO 630311964

    Phone:

    Type: Mailing

  • 3635 VISTA AT GRAND BLVD, 3RD FLOOR WEST PAVILLION

    ROOM 320

    ST. LOUIS, MO 631101571

    Phone: (314) 268-7133

    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: 2013-07-30

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
I20130730000656IEmergency MedicineCATBD

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 making1716$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1412$0
View full utilization report →

Insurance plans in this area (ZIP 63031)

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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: 6103739131View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineCA
-DE
Emergency MedicineCA
Emergency MedicineCA
-CA
Emergency MedicineCA
Emergency MedicineNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for KENYATTA EVANS (M.D.)?
KENYATTA EVANS (M.D.) — NPI 1972816106 — is the standard way to identify this listing.
Is KENYATTA EVANS (M.D.) still practicing?
KENYATTA EVANS (M.D.) is currently listed as active in the public NPI registry.
What is KENYATTA EVANS (M.D.) best known for clinically?
Directory data describes KENYATTA EVANS (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KENYATTA EVANS (M.D.) list a practice location?
Patients near Florissant, Missouri may find KENYATTA EVANS (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.