EVELYN J WILCOX (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1568486637
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EVELYN J WILCOX (C.R.N.A.)
101, East Mockingbird Lane, Victoria, Victoria County, Texas, 77904, United States
VICTORIA, TX 779042178
Phone: (361) 573-6291
Fax: (361) 576-2434
Type: Mailing
17720 SE MILL PLAIN BLVD
VANCOUVER, WA 986837583
Phone: (360) 823-2020
Type: Location
Memorial Medical Center, 815, North Virginia Street, Port Lavaca, Calhoun County, Texas, 77979, United States
PORT LAVACA, TX 77979
Phone: (361) 573-6291
Fax: (361) 576-2434
Type: Location
1111 ARCHWOOD DR SW UNIT 382
OLYMPIA, WA 985025606
Phone: (956) 266-0473
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: 2024-09-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240912000539 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
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.
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 77904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX |
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