MS. EVANGELINE CLAIRE PAYNE LSCSW
NPI 1245627033
Social Worker in Wichita, KS

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
659 N MARKET ST, WICHITA, KS 67214(316) 631-2454(316) 364-3020 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2025, Nov 12, 2015 (2 updates tracked since 2015).

About Ms. Evangeline Claire Payne Lscsw NPPES

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

MS. EVANGELINE CLAIRE PAYNE LSCSW (NPI 1245627033) is an individual social worker in Wichita, Kansas, licensed in Kansas (8707) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245627033
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. EVANGELINE CLAIRE PAYNECredential: LSCSW
Location Address659 N MARKET STWichita, KS 67214-3515
Mailing Address659 N Market StWichita, KS 67214-3515 · (316) 631-2454 · Fax (316) 364-3020
Fax(316) 364-3020
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 20, 2015
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1245627033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in KS · 8707
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
659 N MARKET ST, Wichita, KS 67214

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Evangeline Claire Payne Lscsw 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 ID9133505662
PECOS Enrollment IDI20221006000261
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 Evangeline Payne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
4013 N RIDGE RD STE 110
Wichita, KS 67205
  • Reassigned Medicare billing, Kansas enrollment
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

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

Behavior Technician
659 N MARKET ST
WICHITA, KS 67214
Behavior Technician
659 N MARKET ST
WICHITA, KS 67214
Behavior Technician
659 N MARKET ST
WICHITA, KS 67214
Behavior Technician
659 N MARKET ST
WICHITA, KS 67214
Community/Behavioral Health
659 N MARKET ST
WICHITA, KS 67214
Nurse Practitioner (Psychiatric/Mental Health)
659 N MARKET ST
WICHITA, KS 67214
Behavior Technician
659 N MARKET ST
WICHITA, KS 67214
Behavior Technician
659 N MARKET ST
WICHITA, KS 67214

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 Evangeline Payne's NPI number?

The NPI number for Evangeline Payne is 1245627033. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Evangeline Payne located?

Evangeline Payne practices at 659 N Market St, Wichita, KS 67214. The listed phone number is (316) 631-2454.

What is Evangeline Payne's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Evangeline Payne enrolled in Medicare?

Yes. Evangeline Payne 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.

Which organization bills Medicare for Evangeline Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evangeline Payne reassigns Medicare benefits to Revive & Thrive Mental Health, LLC (Wichita, KS). 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 Evangeline Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evangeline Payne accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 2 other insurers list Evangeline Payne 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 Evangeline Payne was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.