Angelina Denise Evans, APRN - Medicare Nurse Practitioner in Jacksonville, FL

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Angelina Denise Evans, APRN is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. Her current practice location is 820 Prudential Dr Ste 304, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 202-3860.

Angelina Denise Evans is licensed to practice in Florida (license number APRN2835902) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104029107.

Contact Information

Angelina Denise Evans, APRN
820 Prudential Dr Ste 304,
Jacksonville, FL 32207-8205
(904) 202-3860
(904) 202-3846

Map and Direction




Provider's Profile

Full NameAngelina Denise Evans
GenderFemale
SpecialityNurse Practitioner
Location820 Prudential Dr Ste 304, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104029107
  • Provider Enumeration Date: 06/07/2007
  • Last Update Date: 10/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143316604
  • Enrollment ID: I20071012000670

Medical Identifiers

Medical identifiers for Angelina Denise Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104029107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2835902 (Florida)Secondary
363LF0000XNurse Practitioner - Family APRN2835902 (Florida)Secondary
363L00000XNurse Practitioner APRN2835902 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angelina Denise Evans allows following entities to bill medicare on her behalf.
Entity NameBaptist Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817529
PECOS PAC ID: 0648177733
Enrollment ID: O20031217000248
Entity NameMedlink Management Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013972272
PECOS PAC ID: 2466360797
Enrollment ID: O20040227000090
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430
Entity NameFlorida Em-i Medical Services, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740206291
PECOS PAC ID: 3971417684
Enrollment ID: O20070206000564
Entity NameHni Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366735169
PECOS PAC ID: 6406028810
Enrollment ID: O20111007000131

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angelina Denise Evans is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Angelina Denise Evans, APRN
Po Box 746638,
Atlanta, GA 30374-6638

Ph: (904) 202-2092		Angelina Denise Evans, APRN
820 Prudential Dr Ste 304,
Jacksonville, FL 32207-8205

Ph: (904) 202-3860

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.