BROOK NICOLE EVANS (PA-C) – Physician Assistant, NPI 1982365193
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for BROOK NICOLE EVANS (PA-C)
161 Washington Valley Rd
Warren, NJ 070597176
Phone: (630) 974-6602
Type: Location
400 ROUTE 10 W
RANDOLPH, NJ 078692104
Phone: (973) 891-1321
Type: Mailing
4705 UNIVERSITY DR BLDG 700
DURHAM, NC 277073489
Phone: (919) 237-1337
Fax: (866) 538-4716
Type: Mailing
5821 FAIRVIEW RD STE 200
CHARLOTTE, NC 282093649
Phone: (704) 826-3550
Fax: (704) 538-4135
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $495.
Total Amount is formed as General ($495) + Research ($0) + Ownership ($0) = $495.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($365).
Total Amount
$495
General + Research + Ownership
Payments
31
Total payment records
General Amount
$495
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $365 |
| Janssen Pharmaceuticals, Inc | $129 |
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: 2025-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220707001711 | I | Physician Assistant | NJ | TBD |
| I20250325000022 | I | Physician Assistant | NC | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07059)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| Physician Assistant | NC | |
| Family Practice | NC | |
| - | NC | |
| - | PA | |
| - | NC | |
| - | NY | |
| Family Practice | NC | |
| Family Practice | NC | |
| P S Y C H I A T R Y | NC |
Reviews
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