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JADE GISELE EVENSTAD
NPI 1386447605
Student in an Organized Health Care Education/Training Program in Wilkes Barre, PA

Active since March 31, 2025PECOS Enrolled
166 HANOVER ST, WILKES BARRE, PA 18702(570) 808-8780(570) 808-8785 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jade Gisele Evenstad NPPES

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

JADE GISELE EVENSTAD (NPI 1386447605) is an individual student in an organized health care education/training program in Wilkes Barre, Pennsylvania and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386447605
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJADE GISELE EVENSTAD
Location Address166 HANOVER STWilkes Barre, PA 18702-3549
Mailing Address166 Hanover StWilkes Barre, PA 18702-3549 · (570) 808-8780 · Fax (570) 808-8785
Phone(570) 808-8780
Fax(570) 808-8785
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1386447605 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.

166 HANOVER ST, Wilkes Barre, PA 18702
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jade Gisele Evenstad 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.

Other Providers at the Same Location NPPES 20

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

JASON RAYMOND WOLOSKI M.D.
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-8780
GINA TALLO
Student in an Organized Health Care Education/Training Program
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-5674
GEISINGER CLINIC
Internal Medicine
166 HANOVER ST, STE 203
WILKES BARRE, PA 18702
Luzerne County (570) 825-8780
GEISINGER CLINIC
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-8780
DR. KAREN ANN EPHLIN MD
Pediatrics
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-6672
GEISINGER CLINIC
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-6672
DR. MICHAEL D RUPP M.D., F.A.C.C.
Internal Medicine (Cardiovascular Disease)
166 HANOVER ST, SUITE 305
WILKES BARRE, PA 18702
Luzerne County (570) 826-6875
VINCENT A. DRAPIEWSKI, MD
Internal Medicine (Geriatric Medicine)
166 HANOVER ST, SUITE 102
WILKES BARRE, PA 18702
Luzerne County (570) 822-5191

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 Jade Evenstad's NPI number?

The NPI number for Jade Evenstad is 1386447605. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Jade Evenstad located?

Jade Evenstad practices at 166 Hanover St, Wilkes Barre, PA 18702. The listed phone number is (570) 808-8780.

What is Jade Evenstad's specialty?

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

Is Jade Evenstad enrolled in Medicare?

Yes. Jade Evenstad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jade Evenstad was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.