STACEY D EVANS RN,MSN,FNP
NPI 1043528987
Nurse Practitioner - Family in Los Angeles, CA

Active since September 14, 2010PECOS EnrolledAccepts Medicare Assignment
1500 SAN PABLO ST, LOS ANGELES, CA 90033(800) 872-2273 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 22, 2026, May 18, 2023 (2 updates tracked since 2023).

About Stacey D Evans Rn,msn,fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY D EVANS RN,MSN,FNP (NPI 1043528987) is an individual family provider in Los Angeles, California, licensed in California (20170) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Long Beach, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043528987
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY D EVANSCredential: RN,MSN,FNP
Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (626) 457-6601
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 14, 2010
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1043528987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 20170
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 235025 (LA)
1500 SAN PABLO ST, Los Angeles, CA 90033

Secondary Practice Location 1

Location 12801 Atlantic AveLong Beach, CA 90806-1701 · Phone (562) 260-1729

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacey D Evans Rn,msn,fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991971244
PECOS Enrollment IDI20120109000221
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Stacey Evans reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
Emergency Medicine
2801 ATLANTIC AVE
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
General Acute Care Hospital
624 HOSPITAL DR
Mountain Home, AR 72653
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
Urgent Care
708 W ESPLANADE AVE
Kenner, LA 70065
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: East Jefferson Physicians Group LLC
  • 313 clinicians in this Medicare group
Internal Medicine
4945 LAPALCO BLVD STE 200
Marrero, LA 70072
  • Reassigned Medicare billing, Louisiana enrollment
  • 291 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services41 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Evans's NPI number?

The NPI number for Stacey Evans is 1043528987. It was assigned to this individual provider in the NPPES registry on September 14, 2010.

Where is Stacey Evans located?

Stacey Evans practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (800) 872-2273.

What is Stacey Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacey Evans enrolled in Medicare?

Yes. Stacey Evans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stacey Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Evans reassigns Medicare benefits to 5 organizations: Usc Care Medical Group, Inc (Los Angeles, CA), Columbia Emergency Medical Group Inc (Long Beach, CA), Baxter County Regional Hospital Inc (Mountain Home, AR), East Jefferson Physicians Group Urgent Care (Kenner, LA) and New Orleans Physician Services Inc (Marrero, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Evans accept?

Health plans from HMO Louisiana list Stacey Evans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Evans was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.