MS. KATRINA EVANS
NPI 1639555964
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Katrina Evans's NPI number?

The NPI number for Katrina Evans is 1639555964. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Q: What is Katrina Evans's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katrina Evans was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 10, 2015PECOS Enrolled

10881 SAN JOSE BLVD, JACKSONVILLE, FL 32223(904) 880-5522(904) 880-5533 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Ms. Katrina Evans NPPES

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

MS. KATRINA EVANS (NPI 1639555964) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP9190217) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639555964

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KATRINA EVANS

Location Address10881 SAN JOSE BLVDJacksonville, FL 32223-6612

Mailing Address10881 San Jose BlvdJacksonville, FL 32223-6612 · (904) 880-5522 · Fax (904) 880-5533

Phone(904) 880-5522

Fax(904) 880-5533

Sole ProprietorNo

Enumeration DateAugust 10, 2015

✔ NPI 1639555964 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 FL · ARNP9190217

10881 SAN JOSE BLVD, Jacksonville, FL 32223

Open in Google Maps ↗

Other Identifiers 1

OtherARNP9190217FL · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Katrina Evans 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 Katrina Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ackerman Cancer Center, PA

Same address

Radiation Oncology

10881 SAN JOSE BLVD
Jacksonville, FL 32223

Reassigned Medicare billing, Florida enrollment
20 clinicians in this Medicare group

NPI 1972529493 (904) 880-5522

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 32223 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 8

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

ALEXANDRA LEIGH RADERSTORF APRN

Nurse Practitioner (Family)