NICOLE EVANS – Physician Assistant, NPI 1013686906

NICOLE EVANS is a healthcare provider. based in Seattle, Washington. specializing in PHYSICIAN ASSISTANT. They hold a License No. AMD-1212 (HI). The NPI Number for NICOLE EVANS is 1013686906

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE EVANS
NPI
1013686906
Phone
(206) 616-4001
Address
4311 11th Ave NE Ste 200
Enumeration Date
13 September 2021
Last Update Date
9 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8082614476
Graduation Year
2022 (4 years ago)
PAC ID
9032579065
Group Practice PAC ID
8628113453
Professional Enrollment ID
I20230721001315
Address ID
HI968171646HO2230XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for NICOLE EVANS

  • 4311 11th Ave NE Ste 200

    Seattle, WA 981056367

    Phone: (206) 616-4001

    Type: Location

  • 4311 11TH AVE NE STE 200

    SEATTLE, WA 981056367

    Phone:

    Type: Mailing

  • 2230 LILIHA ST STE 104

    HONOLULU, HI 968177357

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $2,426.

Total Amount is formed as General ($2,426) + Research ($0) + Ownership ($0) = $2,426.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($528).

Total Amount

$2,426

General + Research + Ownership

Payments

62

Total payment records

General Amount

$2,426

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2023-07-21

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
I20230721001315IPhysician AssistantHITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4343$0
View full utilization report →

Insurance plans in this area (ZIP 98105)

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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: 8628113453View full group profile
NameSpecialtyState
Nurse PractitionerHI
N E U R O L O G YTX
N E U R O L O G YHI
N E U R O L O G YHI
N E U R O L O G YHI
Physical Medicine And RehabilitationHI
-HI
Sleep MedicineHI
-HI
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows NICOLE EVANS across health systems?
The NPI 1013686906 uniquely identifies NICOLE EVANS in U.S. healthcare data.
Does the public listing show NICOLE EVANS as active?
NICOLE EVANS's NPI record reflects an active status in NPPES.
Which specialty label fits NICOLE EVANS?
NPPES ties NICOLE EVANS to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICOLE EVANS?
NICOLE EVANS is associated with Seattle, Washington in the same public data insurers reference.
Can I export NICOLE EVANS's record?
You can download the official NPPES record; we summarize key fields for readability.

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