1. Home
  2. Directory
  3. Wisconsin
  4. Madison
  5. Physician Assistant
  6. NPI Profile

VIRGINIA A EVANS PA-C
NPI 1639289770
Physician Assistant in Madison, WI

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
451 JUNCTION RD, MADISON, WI 53717(608) 265-8528(608) 265-8852 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2021, Feb 14, 2018 (2 updates tracked since 2018).

About Virginia A Evans Pa-c NPPES

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

VIRGINIA A EVANS PA-C (NPI 1639289770) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (1855) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1639289770
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVIRGINIA A EVANSCredential: PA-C
Location Address451 JUNCTION RDMadison, WI 53717-2656
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 265-8528
Fax(608) 265-8852
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
✔ NPI 1639289770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 1855
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
451 JUNCTION RD, Madison, WI 53717
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Virginia A Evans Pa-c 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 ID2466484142
PECOS Enrollment IDI20050901000751
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims218 services$3.88 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,384 services$0.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MRS. TERESA LYNN WOLFE PA
Physician Assistant (Medical)
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 265-7670
DR. MARIAH A. QUINN M.D.
Internal Medicine
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 265-7550
DR. YEW-XIN TEH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 263-5010
ABIGAIL M BALES MD
Internal Medicine
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 265-1600
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Pharmacy
451 JUNCTION RD, SUITE 9901, ROOM 1191
MADISON, WI 53717
Dane County (608) 265-7070
ANNA HABERMEYER CNM
Nurse Practitioner
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 265-7601
MRS. SHERRY XIONG NP
Nurse Practitioner
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 263-7577
DANIELA C CONSTANTINESCU MD
Internal Medicine
451 JUNCTION RD
MADISON, WI 53717
Dane County (608) 265-7550

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 Virginia Evans's NPI number?

The NPI number for Virginia Evans is 1639289770. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Virginia Evans located?

Virginia Evans practices at 451 Junction Rd, Madison, WI 53717. The listed phone number is (608) 265-8528.

What is Virginia Evans's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Virginia Evans enrolled in Medicare?

Yes. Virginia Evans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Virginia Evans accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Virginia 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.

Is Virginia Evans affiliated with any hospitals?

According to CMS data, Virginia Evans is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Virginia Evans was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.