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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARMEN RASEAN EVANS NURSE PRACTITIONER
NPI 1053097733
Nurse Practitioner - Psychiatric/Mental Health in Southgate, MI

Active since June 26, 2023PECOS Enrolled
1 HERITAGE DR STE 230, SOUTHGATE, MI 48195(248) 832-6700 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2026, Sep 11, 2026, Apr 24, 2026 and 1 more (4 updates tracked since 2026).

About Carmen Rasean Evans Nurse Practitioner NPPES

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

CARMEN RASEAN EVANS NURSE PRACTITIONER (NPI 1053097733) is an individual psychiatric/mental health provider in Southgate, Michigan, licensed in Michigan (4704210253) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053097733
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARMEN RASEAN EVANSCredential: NURSE PRACTITIONER
Location Address1 HERITAGE DR STE 230Southgate, MI 48195-3048
Mailing Address41262 Southwind DrCanton, MI 48188-3122 · (313) 282-8538
Phone(248) 832-6700
Sole ProprietorNo
Enumeration DateJune 26, 2023
Last NPPES UpdateSeptember 16, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1053097733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704210253
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704210253 (MI)
1 HERITAGE DR STE 230, Southgate, MI 48195
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen Rasean Evans Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Carmen Evans reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Numina Health Group, PLLC
7.0 mi
Clinical
835 MASON ST STE A220
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1134986599 (313) 515-1077
Cancer & Hematology Centers Of Western Mi, P.C.
128 mi
Rheumatology
5800 FOREMOST DR SE STE 202
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 104 clinicians in this Medicare group
NPI 1467017434 (616) 389-1800

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 48195 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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

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

NEAL COMFORT CARE LLC
In Home Supportive Care
1 HERITAGE DR STE 230
SOUTHGATE, MI 48195
Wayne County (734) 778-8837

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 Carmen Evans's NPI number?

The NPI number for Carmen Evans is 1053097733. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Carmen Evans located?

Carmen Evans practices at 1 Heritage Dr Ste 230, Southgate, MI 48195. The listed phone number is (248) 832-6700.

What is Carmen Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carmen Evans enrolled in Medicare?

Yes. Carmen Evans is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carmen Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Evans reassigns Medicare benefits to 2 organizations: Numina Health Group, PLLC (Dearborn, MI) and Cancer & Hematology Centers Of Western Mi, P.C. (Grand Rapids, MI). 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 Carmen Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Evans accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Carmen 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 Carmen Evans was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.