EVELINA SPRAGUE (DO) – Family Medicine Physician, NPI 1811254535

EVELINA SPRAGUE (DO) is a healthcare provider. based in Jackson, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS15541 (FL). The NPI Number for EVELINA SPRAGUE (DO) is 1811254535

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
EVELINA SPRAGUE (DO)
NPI
1811254535
Phone
(731) 541-4531
Address
620 SKYLINE DR
Enumeration Date
19 April 2012
Last Update Date
21 August 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9419253427
Graduation Year
2012 (14 years ago)
PAC ID
9234377474
Group Practice PAC ID
2668549395
Professional Enrollment ID
I20181119001239
Address ID
FL342408803SA6150XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

Provider Addresses for EVELINA SPRAGUE (DO)

  • 620 SKYLINE DR

    JACKSON, TN 383013923

    Phone: (731) 541-4531

    Fax: (731) 541-6776

    Type: Mailing

  • 6150 EDGELAKE DR

    SARASOTA, FL 342408803

    Phone: (757) 375-8171

    Fax: (888) 972-9784

    Type: Location

  • PO BOX 15527

    SARASOTA, FL 342771527

    Phone: (757) 375-8171

    Fax: (888) 972-9784

    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: 2018-11-19

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
I20181119001239IFamily PracticeFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,634247$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes341134$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes150128$0
99291Critical care, first 30-74 minutes13142$0
99239Hospital discharge day management, more than 30 minutes6867$0
View full utilization report →

Insurance plans in this area (ZIP 38301)

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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: 2668549395View full group profile
NameSpecialtyState
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

Does EVELINA SPRAGUE (DO) have a public NPI I can cite?
Public records show EVELINA SPRAGUE (DO) under NPI 1811254535.
Does the public listing show EVELINA SPRAGUE (DO) as active?
EVELINA SPRAGUE (DO)'s NPI record reflects an active status in NPPES.
How should patients interpret EVELINA SPRAGUE (DO)'s specialty?
The extract shows Family Medicine Physician for EVELINA SPRAGUE (DO). Clinical services aligned with this taxonomy classification.
What city is tied to EVELINA SPRAGUE (DO)?
The directory associates EVELINA SPRAGUE (DO) with Jackson, Tennessee. Check all listed addresses for suites or satellite offices.
Can I export EVELINA SPRAGUE (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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