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DR JASON EVANS PA
NPI 1407294440
Podiatrist in Ft Lauderdale, FL

Active since June 12, 2013
2800 E COMMERCIAL BLVD STE 207, FT LAUDERDALE, FL 33308(954) 776-5700 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr Jason Evans Pa NPPES

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

DR JASON EVANS PA (NPI 1407294440) is a healthcare organization registered as a podiatrist in Ft Lauderdale, Florida and active in the NPI registry since June 2013. The organization lists Jason Evans, President, as its authorized official.

NPPES Registry Identity

NPI1407294440
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDR JASON EVANS PA
Location Address2800 E COMMERCIAL BLVD STE 207Ft Lauderdale, FL 33308-4228
Mailing Address2800 E Commercial Blvd Ste 207Ft Lauderdale, FL 33308-4228 · (954) 776-5700
Phone(954) 776-5700
Organization SubpartNo
Authorized OfficialJason EvansPresident · (954) 776-5700
Enumeration DateJune 12, 2013
Last NPPES UpdateApril 19, 2018
✔ NPI 1407294440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in FL · PO2835
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2800 E COMMERCIAL BLVD STE 207, Ft Lauderdale, FL 33308
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Jason Evans Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20070221000484Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Jason Evans PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jason Evans, DPM
Podiatry
NPI 1093704306
2800 E COMMERCIAL BLVD SUITE 207
Fort Lauderdale, FL 33308
(954) 776-5700
✔ PECOS✔ Accepts MedicareSame address

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

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 Dr Jason Evans PA's NPI number?

The NPI number for Dr Jason Evans PA is 1407294440. It was assigned to this organization in the NPPES registry on June 12, 2013.

Where is Dr Jason Evans PA located?

Dr Jason Evans PA is located at 2800 E Commercial Blvd Ste 207, Ft Lauderdale, FL 33308. The listed phone number is (954) 776-5700.

What is Dr Jason Evans PA's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Dr Jason Evans PA enrolled in Medicare?

Yes. Dr Jason Evans PA is registered in the Medicare PECOS enrollment system.

When is Dr Jason Evans PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dr Jason Evans PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dr Jason Evans PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Jason Evans PA was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.