EVAN BEVOLDEN
NPI 1093066870
Physician Assistant - Medical in Muskegon, MI

Q: What is Evan Bevolden's NPI number?

The NPI number for Evan Bevolden is 1093066870. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Q: What is Evan Bevolden's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Evan Bevolden was last updated on September 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 20, 2012PECOS Enrolled

1700 CLINTON ST, MUSKEGON, MI 49442(231) 728-4601 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Evan Bevolden NPPES

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

EVAN BEVOLDEN (NPI 1093066870) is an individual medical provider in Muskegon, Michigan, licensed in Michigan (5601006478) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093066870

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameEVAN BEVOLDEN

Location Address1700 CLINTON STMuskegon, MI 49442-5502

Mailing Address1427 Southern AveKalamazoo, MI 49001-4334 · (406) 581-8634

Phone(231) 728-4601

Sole ProprietorNo

Enumeration DateSeptember 20, 2012

✔ NPI 1093066870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601006478

1700 CLINTON ST, Muskegon, MI 49442

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Bevolden 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.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

44 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.

35 services35 patients

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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.

STEVEN A DUNN MD

Anesthesiology