KAREN A EVANS PHD LLC – Psychologist, NPI 1659858157
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KAREN A EVANS PHD LLC
1120 Dunaway St
Miamisburg, OH 453423839
Phone: (937) 307-5949
Type: Location
8100 Clyo Rd
Dayton, OH 454582720
Phone: (937) 307-5949
Type: Location
6091 SINGLE TREE LN
DAYTON, OH 454592423
Phone: (937) 307-5949
Type: Mailing
7061 CORPORATE WAY STE 110
DAYTON, OH 454594244
Phone: (937) 307-5949
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.
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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: 2018-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (891 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| O20181204002094 | O | Clinic/Group Practice | OH | 2023-12-31 |
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.
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 45342)
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