EVAN PRYSE – Family Nurse Practitioner, NPI 1053712299

EVAN PRYSE is a healthcare provider. based in Charlottesville, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024171740 (VA). The NPI Number for EVAN PRYSE is 1053712299

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
EVAN PRYSE
NPI
1053712299
Phone
(434) 654-8930
Address
590 PETER JEFFERSON PKWY STE 100
Enumeration Date
8 September 2014
Last Update Date
10 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4346548930
Graduation Year
2013 (13 years ago)
PAC ID
9739301227
Group Practice PAC ID
5991889081
Professional Enrollment ID
I20141118001731
Address ID
VA229114628CH590XXPKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for EVAN PRYSE

  • 590 PETER JEFFERSON PKWY STE 100

    CHARLOTTESVILLE, VA 229114628

    Phone: (434) 654-8930

    Fax: (844) 307-3595

    Type: Location

  • 2606 LAWRENCE RD

    CHARLOTTESVILLE, VA 229018945

    Phone: (434) 282-2210

    Type: Mailing

  • PO BOX 79777

    BALTIMORE, MD 212790777

    Phone: (434) 654-7794

    Fax: (844) 307-3595

    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: 2014-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (920 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20141118001731INurse PractitionerVA2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99213Established patient office or other outpatient visit, 20-29 minutes359278$0
99214Established patient office or other outpatient visit, 30-39 minutes276232$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit121121$0
99212Established patient office or other outpatient visit, 10-19 minutes7169$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report6059$0
View full utilization report →

Insurance plans in this area (ZIP 22911)

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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: 5991889081View full group profile
NameSpecialtyState
N E U R O L O G YMD
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YVA
Vascular Surgery, General SurgeryVA
-MD
-VA
N E U R O S U R G E R YMD
Nurse PractitionerMD
-MD
-VA

Reviews

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Frequently asked questions

What is EVAN PRYSE's NPI number?
EVAN PRYSE's NPI is 1053712299 — the number used across U.S. healthcare to identify this provider.
Is there an active status for EVAN PRYSE?
For scheduling context, EVAN PRYSE is shown as active in the registry.
What kind of doctor is EVAN PRYSE?
EVAN PRYSE is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for EVAN PRYSE?
Travel planning: use Charlottesville, Virginia as the reference point for EVAN PRYSE, then confirm.
When was this NPI issued?
Enumeration for EVAN PRYSE is noted as September 8, 2014 where the registry provides it.

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