JESSICA E EVANS (PA) – Physician Assistant, NPI 1134196991

JESSICA E EVANS (PA) is a healthcare provider. based in Longview, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA04523 (TX). The NPI Number for JESSICA E EVANS (PA) is 1134196991

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA E EVANS (PA)
NPI
1134196991
Phone
(903) 806-7053
Address
190 ASHBRIAR LN
Enumeration Date
1 March 2006
Last Update Date
20 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9033203200
Graduation Year
2005 (21 years ago)
PAC ID
9436174901
Group Practice PAC ID
1658593637
Professional Enrollment ID
I20051013000491
Address ID
TX756706852MA1600XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for JESSICA E EVANS (PA)

  • 190 ASHBRIAR LN

    LONGVIEW, TX 756058387

    Phone: (903) 806-7053

    Type: Mailing

  • 103 W LOOP 281 STE 472

    LONGVIEW, TX 756054615

    Phone: (903) 212-7550

    Fax: (903) 212-7557

    Type: Location

  • 300, North Alamo Boulevard, Marshall, Harrison County, Texas, 75670, United States

    MARSHALL, TX 756703451

    Phone: (903) 927-2824

    Fax: (903) 927-2880

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($23).

Total Amount

$107

General + Research + Ownership

Payments

6

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-10-13

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
I20051013000491IPhysician AssistantTXTBD

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 75605)

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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: 1658593637View full group profile
NameSpecialtyState
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for JESSICA E EVANS (PA)?
Save NPI 1134196991 if you need a stable reference for JESSICA E EVANS (PA).
Is JESSICA E EVANS (PA) active in the national directory?
JESSICA E EVANS (PA)'s public NPI profile is in an active state.
What kind of provider is JESSICA E EVANS (PA)?
The page reflects Physician Assistant for JESSICA E EVANS (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for JESSICA E EVANS (PA)?
The page summarizes Longview, Texas for JESSICA E EVANS (PA); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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