KELCI S EVANS (P.A.) – Physician Assistant, NPI 1205172665

KELCI S EVANS (P.A.) is a healthcare provider. based in Magnolia, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 1107267 (TX). The NPI Number for KELCI S EVANS (P.A.) is 1205172665

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KELCI S EVANS (P.A.)
NPI
1205172665
Phone
(281) 356-1945
Address
6912 FM 1488 RD
Enumeration Date
12 December 2012
Last Update Date
26 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9362072525
Graduation Year
2012 (14 years ago)
PAC ID
2961657598
Group Practice PAC ID
7012291958
Professional Enrollment ID
I20130304000564
Address ID
TX773562017MO20042STXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for KELCI S EVANS (P.A.)

  • 6912 FM 1488 RD

    STE A

    MAGNOLIA, TX 773541527

    Phone: (281) 356-1945

    Fax: (281) 356-1978

    Type: Mailing

  • 300 NORTHPARK DR STE 100

    KINGWOOD, TX 773392695

    Phone: (281) 310-8445

    Fax: (281) 356-1978

    Type: Mailing

  • 300 NORTHPARK DR

    KINGWOOD, TX 773391672

    Phone: (281) 310-8445

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Abbott Laboratories ($69).

Total Amount

$82

General + Research + Ownership

Payments

5

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-03-04

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
I20130304000564IPhysician 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 77354)

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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: 7012291958View full group profile
NameSpecialtyState
Family PracticeTX
-TX
Family PracticeTX
Internal Medicine, Pediatric MedicineWA
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerFL
Family PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is KELCI S EVANS (P.A.) listed with a National Provider Identifier?
Yes — KELCI S EVANS (P.A.) has NPI 1205172665 on file in the registry.
Is there an active status for KELCI S EVANS (P.A.)?
For scheduling context, KELCI S EVANS (P.A.) is shown as active in the registry.
What clinical focus is listed for KELCI S EVANS (P.A.)?
At a glance, KELCI S EVANS (P.A.) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Texas is KELCI S EVANS (P.A.) registered?
Use Magnolia, Texas as the headline location for KELCI S EVANS (P.A.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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