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EVAN JERROLD BARNES
NPI 1386309227
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since November 05, 2021PECOS Enrolled
50 STANIFORD ST # 50-9, BOSTON, MA 02114(617) 726-4900(617) 228-6306 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2023, Mar 19, 2023, Nov 5, 2021 (3 updates tracked since 2021).

About Evan Jerrold Barnes NPPES

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

EVAN JERROLD BARNES (NPI 1386309227) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1386309227
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN JERROLD BARNES
Location Address50 STANIFORD ST # 50-9Boston, MA 02114-2517
Mailing Address50 Staniford St # 50-9Boston, MA 02114-2517 · (617) 726-4900 · Fax (617) 228-6306
Phone(617) 726-4900
Fax(617) 228-6306
Sole ProprietorNo
Enumeration DateNovember 5, 2021
Last NPPES UpdateMay 30, 20233 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1386309227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
50 STANIFORD ST # 50-9, Boston, MA 02114
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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-8311

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 Jerrold Barnes 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.

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 Evan Barnes's NPI number?

The NPI number for Evan Barnes is 1386309227. It was assigned to this individual provider in the NPPES registry on November 5, 2021.

Where is Evan Barnes located?

Evan Barnes practices at 50 Staniford St # 50-9, Boston, MA 02114. The listed phone number is (617) 726-4900.

What is Evan Barnes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Evan Barnes enrolled in Medicare?

Yes. Evan Barnes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Barnes was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.