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DE ANDRE EVANS
NPI 1063372365
Dentist - General Practice in Newport, KY

Active since November 18, 2025PECOS Enrolled
215 E 11TH ST, NEWPORT, KY 41071(859) 655-6100(859) 655-6186 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About De Andre Evans NPPES

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

DE ANDRE EVANS (NPI 1063372365) is an individual general practice provider in Newport, Kentucky, licensed in Kentucky (D-00097) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Dentistry (2025).

NPPES Registry Identity

NPI1063372365
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDE ANDRE EVANS
Location Address215 E 11TH STNewport, KY 41071-2203
Mailing Address215 E 11th StNewport, KY 41071-2203 · (859) 655-6100 · Fax (859) 655-6186
Phone(859) 655-6100
Fax(859) 655-6186
Sole ProprietorNo
Medical School CMSOhio State University College Of DentistryGraduated 2025
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1063372365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · D-00097
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
215 E 11TH ST, Newport, KY 41071
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

De Andre Evans is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830685247
PECOS Enrollment IDI20260106000305
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 De Andre Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthpoint Family Care Inc
Same address
Federally Qualified Health Center (FQHC)
215 E 11TH ST
Newport, KY 41071
  • Reassigned Medicare billing, Kentucky enrollment
  • 69 clinicians in this Medicare group
NPI 1508889742 (859) 655-6100

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 41071 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 19

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

DR. JINHUI LI DDS, PHD
Dentist (General Practice)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
COLLEEN CONNAUGHTON APRN
Nurse Practitioner (Family)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
SAIRA TARIQ MD
Pediatrics
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
DAVID LOWE MD
Family Medicine
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
ANNA RIDDER APRN
Nurse Practitioner (Family)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
FRANCESCA FLORENDO DMD
Dentist (General Practice)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
JENNAFER BARKER APRN
Nurse Practitioner (Family)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
KACIE FLORUS DMD
Dentist (General Practice)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100

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 De Andre Evans's NPI number?

The NPI number for De Andre Evans is 1063372365. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is De Andre Evans located?

De Andre Evans practices at 215 E 11th St, Newport, KY 41071. The listed phone number is (859) 655-6100.

What is De Andre Evans's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is De Andre Evans enrolled in Medicare?

Yes. De Andre Evans is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for De Andre Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), De Andre Evans reassigns Medicare benefits to Healthpoint Family Care Inc (Newport, KY). The 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 De Andre Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does De Andre Evans accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 3 other insurers list De Andre 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 De Andre Evans was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.