MRS. CARLA M EVANS (FNP) – Nurse Practitioner, NPI 1073869210

MRS. CARLA M EVANS (FNP) is a healthcare provider. based in Portsmouth, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. CAPRN00047 (RI). The NPI Number for MRS. CARLA M EVANS (FNP) is 1073869210

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CARLA M EVANS (FNP)
NPI
1073869210
Phone
(401) 683-7434
Address
79 TURNPIKE AVE
Enumeration Date
25 July 2012
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7578730161
Graduation Year
2010 (16 years ago)
PAC ID
8628213501
Group Practice PAC ID
4486749223
Professional Enrollment ID
I20251120003069
Address ID
VA236064202NE11844DRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:13State licenses:5Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for MRS. CARLA M EVANS (FNP)

  • 79 TURNPIKE AVE

    PORTSMOUTH, RI 028711419

    Phone: (401) 683-7434

    Fax: (401) 683-0482

    Type: Mailing

  • 1601 COMMONWEALTH AVE

    WILLIAMSBURG, VA 231855125

    Phone: (757) 259-9466

    Type: Location

  • 11844 Rock Landing Dr Ste B

    Newport News, VA 236064202

    Phone: (757) 873-0161

    Fax: (757) 873-0205

    Type: Location

  • 11844 ROCK LANDING DR STE B

    NEWPORT NEWS, VA 236064202

    Phone: (757) 873-0161

    Fax: (757) 873-0205

    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: 2025-11-20

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
I20251120003069INurse PractitionerVATBD

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 02871)

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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: 4486749223View full group profile
NameSpecialtyState
D E R M A T O L O G YVA
Micrographic Dermatologic Surgery (Mds)VA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
Micrographic Dermatologic Surgery (Mds)VA
Dermatology, Family PracticeVA

Reviews

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Frequently asked questions

What is MRS. CARLA M EVANS (FNP)'s NPI number?
MRS. CARLA M EVANS (FNP)'s NPI is 1073869210 — the number used across U.S. healthcare to identify this provider.
Would MRS. CARLA M EVANS (FNP) appear as active to a payer?
You can treat MRS. CARLA M EVANS (FNP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MRS. CARLA M EVANS (FNP)'s focus?
For MRS. CARLA M EVANS (FNP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Rhode Island is MRS. CARLA M EVANS (FNP) registered?
Use Portsmouth, Rhode Island as the headline location for MRS. CARLA M EVANS (FNP) here.
Can I trust this NPI listing for MRS. CARLA M EVANS (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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