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ALYSA JESICA EVANS NP
NPI 1164035937
Nurse Practitioner - Pediatrics in Troy, NY

Active since August 31, 2020PECOS Enrolled
RIVERVIEW PEDIATRICS, 315 2ND AVE, TROY, NY 12182(518) 235-6181(518) 235-4323 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2020, Aug 31, 2020 (2 updates tracked since 2020).

About Alysa Jesica Evans Np NPPES

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

ALYSA JESICA EVANS NP (NPI 1164035937) is an individual pediatrics provider in Troy, New York, licensed in New York (F383137-01) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Delmar, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164035937
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameALYSA JESICA EVANSCredential: NP
Location AddressRIVERVIEW PEDIATRICS, 315 2ND AVETroy, NY 12182
Mailing Address6 Wilshire DrDelmar, NY 12054-3915 · (518) 495-8429
Phone(518) 235-6181
Fax(518) 235-4323
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 31, 2020
Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2020
✔ NPI 1164035937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F383137-01
RIVERVIEW PEDIATRICS, Troy, NY 12182
Open in Google Maps ↗

Secondary Practice Location 1

Location 16 Wilshire DrDelmar, NY 12054-3915 · Phone (518) 495-8429

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alysa Jesica Evans Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092280966
PECOS Enrollment IDI20260408001543
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 Alysa Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Albany Medical College
7.3 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600

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 12182 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Alysa Evans's NPI number?

The NPI number for Alysa Evans is 1164035937. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Alysa Evans located?

Alysa Evans practices at Riverview Pediatrics 315 2nd Ave, Troy, NY 12182. The listed phone number is (518) 235-6181.

What is Alysa Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Alysa Evans enrolled in Medicare?

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

Which organization bills Medicare for Alysa Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alysa Evans reassigns Medicare benefits to Albany Medical College (Albany, NY). 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 Alysa Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alysa Evans was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.