MS. VICTORIA M EVELYN PA
NPI 1114332020
Physician Assistant - Medical in Boulder, CO

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
1755 48TH ST STE 100, BOULDER, CO 80301(303) 604-5000 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, May 8, 2018, Aug 16, 2016 (3 updates tracked since 2016).

About Ms. Victoria M Evelyn Pa NPPES

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

MS. VICTORIA M EVELYN PA (NPI 1114332020) is an individual medical provider in Boulder, Colorado, licensed in Colorado (PA.0008275) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Eastern Virginia Medical School (2014).

NPPES Registry Identity

NPI1114332020
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. VICTORIA M EVELYNCredential: PA
Location Address1755 48TH ST STE 100Boulder, CO 80301-2712
Mailing Address4092 Foxwood DrVirginia Beach, VA 23462-5225 · (757) 467-4200
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2014
Enumeration DateJune 30, 2014
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1114332020 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
Licenses Licensed in CO · PA.0008275 Licensed in VA · 0110004619
1755 48TH ST STE 100, Boulder, CO 80301

Other Names 1

Former Name (1)Victoria M Bock Pa

Secondary Practice Location 1

Location 14092 Foxwood DrVirginia Beach, VA 23462-5225 · Phone (757) 467-4200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Victoria M Evelyn Pa 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 ID3173815099
PECOS Enrollment IDI20240401000780
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
148 services123 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
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.
11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.71
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Physician Assistant (Medical)
1755 48TH ST STE 100
BOULDER, CO 80301
Physician Assistant
1755 48TH ST STE 100
BOULDER, CO 80301
Internal Medicine (Gastroenterology)
1755 48TH ST STE 100
BOULDER, CO 80301
Nurse Anesthetist, Certified Registered
1755 48TH ST STE 100
BOULDER, CO 80301
Internal Medicine (Gastroenterology)
1755 48TH ST STE 100
BOULDER, CO 80301
Internal Medicine (Gastroenterology)
1755 48TH ST STE 100
BOULDER, CO 80301
Internal Medicine (Gastroenterology)
1755 48TH ST STE 100
BOULDER, CO 80301

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 Victoria Evelyn's NPI number?

The NPI number for Victoria Evelyn is 1114332020. It was assigned to this individual provider in the NPPES registry on June 30, 2014. The provider is also known as Victoria M Bock PA.

Where is Victoria Evelyn located?

Victoria Evelyn practices at 1755 48th St Ste 100, Boulder, CO 80301. The listed phone number is (303) 604-5000.

What is Victoria Evelyn's specialty?

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

Is Victoria Evelyn enrolled in Medicare?

Yes. Victoria Evelyn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Victoria Evelyn was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.