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EVAN PACLEB
NPI 1518793983
Nurse Practitioner in San Diego, CA

Active since September 11, 2024PECOS Enrolled
4875 COLE ST UNIT 50, SAN DIEGO, CA 92117(678) 763-2684 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Evan Pacleb NPPES

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

EVAN PACLEB (NPI 1518793983) is an individual nurse practitioner in San Diego, California, licensed in California (95032083) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518793983
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameEVAN PACLEB
Location Address4875 COLE ST UNIT 50San Diego, CA 92117-1864
Mailing Address4875 Cole St Unit 50San Diego, CA 92117-1864 · (678) 763-2684
Phone(678) 763-2684
Sole ProprietorYes
Enumeration DateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
✔ NPI 1518793983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95032083
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4875 COLE ST UNIT 50, San Diego, CA 92117
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Pacleb 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.

Medicare Billing Reassignment

Medicare enrollment records show Evan Pacleb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sinu-Clear Inc
117 mi
Otolaryngology
15910 VENTURA BLVD STE 1510
Encino, CA 91436
  • Reassigned Medicare billing, California enrollment
  • 23 clinicians in this Medicare group
NPI 1831298751 (310) 278-9171

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 92117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Pacleb's NPI number?

The NPI number for Evan Pacleb is 1518793983. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Where is Evan Pacleb located?

Evan Pacleb practices at 4875 Cole St Unit 50, San Diego, CA 92117. The listed phone number is (678) 763-2684.

What is Evan Pacleb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Evan Pacleb enrolled in Medicare?

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

Which organization bills Medicare for Evan Pacleb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Pacleb reassigns Medicare benefits to Sinu-Clear Inc (Encino, CA). 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 Evan Pacleb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Evan Pacleb was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.