EVANS YONYON AZAGIDI
NPI 1528530763
Nurse Practitioner - Family in Las Vegas, NV

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since December 28, 2018PECOS EnrolledAccepts Medicare Assignment

2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102(713) 269-4242 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Evans Yonyon Azagidi NPPES

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

EVANS YONYON AZAGIDI (NPI 1528530763) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (812073) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528530763

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameEVANS YONYON AZAGIDI

Location Address2121 W CHARLESTON BLVDLas Vegas, NV 89102-2205

Mailing Address2121 W Charleston BlvdLas Vegas, NV 89102-2205

Phone(713) 269-4242

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 28, 2018

✔ NPI 1528530763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · 812073

2121 W CHARLESTON BLVD, Las Vegas, NV 89102

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evans Yonyon Azagidi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446621700

PECOS Enrollment IDI20230124001510

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Other Providers at the Same Location NPPES 19

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

CHARLESTON RESIDENTIAL SERVICES LLC

Assisted Living Facility