EVANGELINE CUA GAN MD
NPI 1376644351
Internal Medicine in Everett, WA
About Evangeline Cua Gan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVANGELINE CUA GAN MD (NPI 1376644351) is an individual internal medicine provider in Everett, Washington, licensed in Washington (MD00035936) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evangeline Cua Gan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Evangeline Gan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Everett, WA 98208
- Reassigned Medicare billing, Washington enrollment
- 705 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gan's NPI number?
The NPI number for Evangeline Gan is 1376644351. It was assigned to this individual provider in the NPPES registry on September 25, 2006.
Where is Evangeline Gan located?
Evangeline Gan practices at 12800 Bothell-Everett Hwy Suite 190, Everett, WA 98208. The listed phone number is (425) 316-5160.
What is Evangeline Gan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Evangeline Gan enrolled in Medicare?
Yes. Evangeline Gan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Evangeline Gan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evangeline Gan reassigns Medicare benefits to Providence Health & Services - Washington (Everett, WA). 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 Gan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evangeline Gan accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Evangeline Gan 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 Gan was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Evangeline Cua Gan, MD · NPI 1376644351
Internal Medicine physician in Everett, Washington. Individual provider, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1376644351 (Entity type: Individual)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD00035936 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 12800 BOTHELL-EVERETT HWY, SUITE 190, Everett, WA 98208-6644
- **Phone:** (425) 316-5160 · **Fax:** (425) 225-1005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Health & Services - Washington (NPI 1013169507, Everett, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2021
- **Other identifiers:** Medicaid 8231037 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376644351) · Data from the CMS NPPES public registry.