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KYLIE TWEED KUMASAKA EVANS PA
NPI 1649617606
Physician Assistant in Sacramento, CA

Active since May 31, 2013PECOS Enrolled
4001 J ST, SACRAMENTO, CA 95819(916) 453-4828 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kylie Tweed Kumasaka Evans Pa NPPES

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

KYLIE TWEED KUMASAKA EVANS PA (NPI 1649617606) is an individual physician assistant in Sacramento, California, licensed in California (PA22965) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2013).

NPPES Registry Identity

NPI1649617606
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKYLIE TWEED KUMASAKA EVANSCredential: PA
Location Address4001 J STSacramento, CA 95819-3626
Mailing Address350 Twin Ponds LnLincoln, CA 95648-9625
Phone(916) 453-4828
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2013
Enumeration DateMay 31, 2013
Last NPPES UpdateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1649617606 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 CA · PA22965
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.
4001 J ST, Sacramento, CA 95819
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Other Names 1

Other Name (5)Kylie Kumasaka Pa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Tweed Kumasaka Evans Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688161771
PECOS Enrollment IDI20251014000080
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 95819 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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.

SANDY YI NOBLETT
Nurse Anesthetist, Certified Registered
4001 J ST
SACRAMENTO, CA 95819
Sacramento County (916) 453-4545
JEFFREY NEHIRA
Pharmacist
4001 J ST, INPATIENT PHARMACY
SACRAMENTO, CA 95819
Sacramento County (916) 453-4907
TERESA HESS
Registered Nurse (Critical Care Medicine)
4001 J ST
SACRAMENTO, CA 95819
Sacramento County (916) 453-4545
DR. SYED M. HAIDER M.D.
Hospitalist
4001 J ST
SACRAMENTO, CA 95819
Sacramento County (916) 453-4966
THOMAS FULWIDER MD
Emergency Medicine
4001 J ST
SACRAMENTO, CA 95819
Sacramento County (330) 493-4443
CARLY ANNE STEWART PA-C
Physician Assistant (Medical)
4001 J ST
SACRAMENTO, CA 95819
Sacramento County (916) 453-4545
MAYA HEINERT MD
Pediatrics
4001 J ST
SACRAMENTO, CA 95819
Sacramento County (330) 493-4443
DINA BORICHEVSKIY
Nurse Practitioner
4001 J ST
SACRAMENTO, CA 95819
Sacramento County (916) 733-6421

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 Kylie Kumasaka Evans's NPI number?

The NPI number for Kylie Kumasaka Evans is 1649617606. It was assigned to this individual provider in the NPPES registry on May 31, 2013. The provider is also known as Kylie Kumasaka PA.

Where is Kylie Kumasaka Evans located?

Kylie Kumasaka Evans practices at 4001 J St, Sacramento, CA 95819. The listed phone number is (916) 453-4828.

What is Kylie Kumasaka Evans's specialty?

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

Is Kylie Kumasaka Evans enrolled in Medicare?

Yes. Kylie Kumasaka Evans is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kylie Kumasaka Evans was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.