KERRY F EVANS (ACNP-AG) – Acute Care Nurse Practitioner, NPI 1366108433

KERRY F EVANS (ACNP-AG) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-AG. They hold a License No. 571758 (TX). The NPI Number for KERRY F EVANS (ACNP-AG) is 1366108433

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
KERRY F EVANS (ACNP-AG)
NPI
1366108433
Phone
(254) 724-2111
Address
PO BOX 844658
Enumeration Date
12 November 2021
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
3274910922
Professional Enrollment ID
I20220518000978
Address ID
TX786651266RO4495XTRLX400

Contacts

Other Endpoint
https://tigerconnect.com/
Secure Messaging
kevans422202@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness95
Years active:4State licenses:1Other names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KERRY F EVANS (ACNP-AG)

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 505 LA PALOMA DR

    GEORGETOWN, TX 786281312

    Phone: (830) 385-1310

    Type: Mailing

  • 2401 S 31ST ST

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    Type: Location

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: 2022-05-18

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
I20220518000978INurse PractitionerTXTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2019$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Reviews

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Frequently asked questions

How is KERRY F EVANS (ACNP-AG) identified in CMS data?
CMS-hosted NPPES data lists KERRY F EVANS (ACNP-AG) with NPI 1366108433.
Can I rely on KERRY F EVANS (ACNP-AG) being an active provider?
As of the registry snapshot, KERRY F EVANS (ACNP-AG) is marked active.
What is KERRY F EVANS (ACNP-AG)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for KERRY F EVANS (ACNP-AG) here. Clinical services aligned with this taxonomy classification.
Where is KERRY F EVANS (ACNP-AG) based?
KERRY F EVANS (ACNP-AG) is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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