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MRS. REGINA JONELLE EVANS FNP
NPI 1609416544
Nurse Practitioner - Family in Shaw, MS

Active since January 08, 2020PECOS Enrolled
112 W PEELER AVE, SHAW, MS 38773(662) 754-3301(662) 754-3304 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2020, Jan 8, 2020 (2 updates tracked since 2020).

About Mrs. Regina Jonelle Evans Fnp NPPES

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

MRS. REGINA JONELLE EVANS FNP (NPI 1609416544) is an individual family provider in Shaw, Mississippi, licensed in Mississippi (903672) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609416544
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. REGINA JONELLE EVANSCredential: FNP
Location Address112 W PEELER AVEShaw, MS 38773-8710
Mailing Address1722 Dahlia DrGreenville, MS 38701-7347 · (662) 207-0806
Phone(662) 754-3301
Fax(662) 754-3304
Sole ProprietorYes
Enumeration DateJanuary 8, 2020
Last NPPES UpdateAugust 20, 20202 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
✔ NPI 1609416544 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 MS · 903672
112 W PEELER AVE, Shaw, MS 38773
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Regina Jonelle Evans Fnp 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 Reassignments

3

Medicare enrollment records show Regina Evans reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shaw Family Medical, LLC
0.1 mi
Clinic/Center
112 W PEELER AVE
Shaw, MS 38773
  • Reassigned Medicare billing, Mississippi enrollment
  • 11 clinicians in this Medicare group
NPI 1750642633 (662) 754-3301
Making Moves In The Community, Incorporated
0.1 mi
Family Medicine
112 EAST PEELER AVE
Shaw, MS 38773
  • Reassigned Medicare billing, Mississippi enrollment
  • 4 clinicians in this Medicare group
NPI 1851884266 (662) 402-1138
Delta Medical Group
22 mi
Emergency Medicine
1693 FAIRGROUNDS RD
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 123 clinicians in this Medicare group
NPI 1790701134 (662) 725-2749

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 38773 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 7

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

TERESA WILSON NP
Nurse Practitioner (Adult Health)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
KIMBERLY ROBINSON FNP-C
Nurse Practitioner (Primary Care)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
MRS. WILLIE MARY BOLDEN
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 745-6638
NORA CECELIA GOUGH-DAVIS FNP
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
SHAW FAMILY MEDICAL, LLC
Clinic/Center
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
KIM DAVIS NP
Family Medicine
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3301
CLIFTON DEWAYNE REED
Nurse Practitioner (Family)
112 W PEELER AVE
SHAW, MS 38773
Bolivar County (662) 754-3304

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 Regina Evans's NPI number?

The NPI number for Regina Evans is 1609416544. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Regina Evans located?

Regina Evans practices at 112 W Peeler Ave, Shaw, MS 38773. The listed phone number is (662) 754-3301.

What is Regina Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Regina Evans enrolled in Medicare?

Yes. Regina Evans is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Regina Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Regina Evans reassigns Medicare benefits to 3 organizations: Shaw Family Medical, LLC (Shaw, MS), Making Moves In The Community, Incorporated (Shaw, MS) and Delta Medical Group (Greenville, MS). Each 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 Regina Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Regina Evans accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Regina Evans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Regina Evans was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.