DR. JOHN R EVALDSON M.D.
NPI 1568585305
Psychiatry & Neurology - Child & Adolescent Psychiatry in Santa Fe, NM

Q: What is John Evaldson's NPI number?

The NPI number for John Evaldson is 1568585305. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is John Evaldson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: Is John Evaldson enrolled in Medicare?

No. John Evaldson has opted out of Medicare through November 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for John Evaldson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 09, 2007Opted out of Medicare · through Nov 1, 2027

1012 MARQUEZ PLACE #401, SANTA FE, NM 87505(505) 983-1887(505) 983-0437 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Dr. John R Evaldson M.d. NPPES

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

DR. JOHN R EVALDSON M.D. (NPI 1568585305) is an individual child & adolescent psychiatry provider in Santa Fe, New Mexico, licensed in New Mexico (86-041) and active in the NPI registry since April 2007. He has opted out of Medicare through November 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568585305

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. JOHN R EVALDSONCredential: M.D.

Location Address1012 MARQUEZ PLACE #401Santa Fe, NM 87505

Mailing Address1012 Marquez Place #401Santa Fe, NM 87505 · (505) 983-1887 · Fax (505) 983-0437

Phone(505) 983-1887

Fax(505) 983-0437

Sole ProprietorYes

Enumeration DateApril 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1568585305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NM · 86-041

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John R Evaldson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 1, 2003 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2003

Opt-Out In Effect ThroughNovember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 John Evaldson's NPI number?

The NPI number for John Evaldson is 1568585305. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is John Evaldson located?

John Evaldson practices at 1012 Marquez Place #401, Santa Fe, NM 87505. The listed phone number is (505) 983-1887.

What is John Evaldson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is John Evaldson enrolled in Medicare?

No. John Evaldson has opted out of Medicare through November 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Evaldson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.