JESSE MURRAY EVENSKY MD
NPI 1659011229
Student in an Organized Health Care Education/Training Program in Burlington, VT

Q: What is Jesse Evensky's NPI number?

The NPI number for Jesse Evensky is 1659011229. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Jesse Evensky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Evensky was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 31, 2022PECOS Enrolled

111 COLCHESTER AVE, BURLINGTON, VT 05401(315) 558-0274 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jesse Murray Evensky Md NPPES

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

JESSE MURRAY EVENSKY MD (NPI 1659011229) is an individual student in an organized health care education/training program in Burlington, Vermont and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659011229

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJESSE MURRAY EVENSKYCredential: MD

Location Address111 COLCHESTER AVEBurlington, VT 05401-1473

Mailing Address221 Coolidge AveBarrington, IL 60010-4211 · (315) 382-1476

Phone(315) 558-0274

Sole ProprietorYes

Enumeration DateMarch 31, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1659011229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 COLCHESTER AVE, Burlington, VT 05401

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Murray Evensky Md 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.

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.

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

ANDREW HUY NGUYEN MD

Student in an Organized Health Care Education/Training Program