CAROLINE EVANADO (NP) – Nurse Practitioner, NPI 1740508431

CAROLINE EVANADO (NP) is a healthcare provider. based in Clackamas, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 202006959NP-PP (OR). The NPI Number for CAROLINE EVANADO (NP) is 1740508431

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE EVANADO (NP)
NPI
1740508431
Phone
(503) 652-2880
Address
10180 SE Sunnyside Rd
Enumeration Date
6 May 2010
Deactivation Date
6 November 2018
Reactivation Date
19 June 2019
Last Update Date
11 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008132000
Graduation Year
2020 (6 years ago)
PAC ID
9931528171
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20201007001798
Address ID
OR972203804PO1700XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for CAROLINE EVANADO (NP)

  • 10180 SE Sunnyside Rd

    Clackamas, OR 970158970

    Phone: (503) 652-2880

    Type: Location

  • 11120 NE 33RD PL STE 202

    BELLEVUE, WA 980041444

    Phone:

    Type: Mailing

  • 11120 NE 33RD PL

    BELLEVUE, WA 980041444

    Phone: (503) 273-0096

    Type: Location

  • 39 NE 102ND AVE

    PORTLAND, OR 972204103

    Phone:

    Type: Mailing

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: 2022-03-10

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
I20201007001798INurse PractitionerORTBD
I20220310001782INurse PractitionerWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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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: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

What number should I use to identify CAROLINE EVANADO (NP) for billing?
Administrative and clinical systems typically use NPI 1740508431 for CAROLINE EVANADO (NP).
Is CAROLINE EVANADO (NP)'s NPI status active today?
Active status means CAROLINE EVANADO (NP)'s NPI record is not deactivated in the public file.
What does the directory say CAROLINE EVANADO (NP) does?
Insurance directories may phrase it differently, but here CAROLINE EVANADO (NP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit CAROLINE EVANADO (NP) in Clackamas, Oregon?
For routing, start with Clackamas, Oregon for CAROLINE EVANADO (NP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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