EVA DEVORKIN – Family Nurse Practitioner, NPI 1679394910

EVA DEVORKIN is a healthcare provider. based in Milwaukee, Wisconsin. specializing in NURSE PRACTITIONER. They hold a License No. 16069-33 (WI). The NPI Number for EVA DEVORKIN is 1679394910

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
EVA DEVORKIN
NPI
1679394910
Phone
(414) 731-8665
Address
3521 N 54TH BLVD
Enumeration Date
19 October 2024
Last Update Date
19 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
41464054335
Graduation Year
2024 (2 years ago)
PAC ID
8820525934
Group Practice PAC ID
3577932292
Professional Enrollment ID
I20241231000403
Address ID
WI532121484MI3338XDRXX800
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for EVA DEVORKIN

  • 3521 N 54TH BLVD

    MILWAUKEE, WI 532162803

    Phone: (414) 731-8665

    Type: Mailing

  • 3338 N MARTIN LUTHER KING DR

    MILWAUKEE, WI 532121484

    Phone: (414) 640-5433

    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: 2024-12-31

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
I20241231000403INurse PractitionerWITBD

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 53216)

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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: 3577932292View full group profile
NameSpecialtyState
Nurse PractitionerWI
Occupational Therapist In Private PracticeWI

Reviews

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Frequently asked questions

What federal number belongs to EVA DEVORKIN?
The federal identifier for EVA DEVORKIN is NPI 1679394910.
Is EVA DEVORKIN currently active in the NPI registry?
CMS-published data lists EVA DEVORKIN as an active registrant.
Does EVA DEVORKIN list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for EVA DEVORKIN. Clinical services aligned with this taxonomy classification.
What location metadata exists for EVA DEVORKIN?
The page summarizes Milwaukee, Wisconsin for EVA DEVORKIN; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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