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DR. JESSICA EVELSON M.D.
NPI 1053504845
Psychiatry & Neurology - Child & Adolescent Psychiatry in Boca Raton, FL

Active since August 24, 2007Opted out of Medicare · through Apr 1, 2028
5550 GLADES RD STE 305-16, BOCA RATON, FL 33431(561) 668-4525(561) 437-8263 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jessica Evelson M.d. NPPES

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

DR. JESSICA EVELSON M.D. (NPI 1053504845) is an individual child & adolescent psychiatry provider in Boca Raton, Florida, licensed in Florida (ME 114713) and active in the NPI registry since August 2007. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1053504845
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JESSICA EVELSONCredential: M.D.
Location Address5550 GLADES RD STE 305-16Boca Raton, FL 33431-7205
Mailing Address19156 Skyridge CirBoca Raton, FL 33498-6212 · (347) 658-4907
Phone(561) 668-4525
Fax(561) 437-8263
Sole ProprietorNo
Enumeration DateAugust 24, 2007
Last NPPES UpdateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
✔ NPI 1053504845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in FL · ME 114713
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License ME 114713 (FL)
5550 GLADES RD STE 305-16, Boca Raton, FL 33431
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jessica Evelson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jessica Evelson's NPI number?

The NPI number for Jessica Evelson is 1053504845. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Jessica Evelson located?

Jessica Evelson practices at 5550 Glades Rd Ste 305-16, Boca Raton, FL 33431. The listed phone number is (561) 668-4525.

What is Jessica Evelson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jessica Evelson enrolled in Medicare?

No. Jessica Evelson has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Evelson was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.