DR. EVAN CHARLES DELANCEY DO
NPI 1043892581
Obstetrics & Gynecology in Jonesboro, AR

Q: What is Evan Delancey's NPI number?

The NPI number for Evan Delancey is 1043892581. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Q: What is Evan Delancey's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Delancey was last updated on June 2, 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.

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment

4802 E JOHNSON AVE, JONESBORO, AR 72405(870) 936-8000(870) 934-3631 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2026, Aug 21, 2022, Apr 23, 2021 (3 updates tracked since 2021).

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About Dr. Evan Charles Delancey Do NPPES

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

DR. EVAN CHARLES DELANCEY DO (NPI 1043892581) is an individual obstetrics & gynecology provider in Jonesboro, Arkansas, licensed in Arkansas (E-20515) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2021).

NPPES Registry Identity

NPI1043892581

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. EVAN CHARLES DELANCEYCredential: DO

Location Address4802 E JOHNSON AVEJonesboro, AR 72405-8413

Mailing AddressPo Box 1960Jonesboro, AR 72403-1960 · (870) 936-8000 · Fax (870) 934-3631

Phone(870) 936-8000

Fax(870) 934-3631

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2021

Enumeration DateApril 23, 2021

Last NPPES UpdateJune 2, 20263 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1043892581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in AR · E-20515✔ Licensed in TN · 621854358

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4802 E JOHNSON AVE, Jonesboro, AR 72405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.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

Dr. Evan Charles Delancey Do 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 ID7416336086

PECOS Enrollment IDI20260610003236

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 Reassignment

Medicare enrollment records show Evan Delancey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Arkansas Clinic Charitable Foundation, Inc.

0.1 mi

Radiology, Mobile Mammography

4800 E JOHNSON AVE
Jonesboro, AR 72405

Reassigned Medicare billing, Arkansas enrollment
439 clinicians in this Medicare group

NPI 1417721689 (870) 936-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72405 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

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.

MALORY PAIGE SLATER LMSW

Social Worker (Clinical)