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MS. MARY L EVENSON PA-C
NPI 1659366565
Physician Assistant - Medical in Madison, WI

Active since September 16, 2005PECOS Enrolled
752 N HIGH POINT RD, DEAN MEDICAL CENTER, MADISON, WI 53717(608) 824-4000(608) 824-4910 Get Directions Write a Review

NPPES record last updated: December 23, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Mary L Evenson Pa-c NPPES

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

MS. MARY L EVENSON PA-C (NPI 1659366565) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (1019-023) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659366565
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MARY L EVENSONCredential: PA-C
Location Address752 N HIGH POINT RD, DEAN MEDICAL CENTERMadison, WI 53717-2236
Mailing Address752 N High Point Rd, Dean Medical CenterMadison, WI 53717-2236 · (608) 824-4000 · Fax (608) 824-4910
Phone(608) 824-4000
Fax(608) 824-4910
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateDecember 23, 2008
✔ NPI 1659366565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 1019-023
752 N HIGH POINT RD, Madison, WI 53717
Open in Google Maps ↗

Other Identifiers 4

Other60842Dean Health Insurance
Medicare PIN741501674WI
Medicaid42990900WI
Medicare UPINPO2333WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary L Evenson Pa-c 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.

HEATHER L MUCKLER COTA
Occupational Therapy Assistant
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4821
DR. MINDY BAUER PHARMD
Pharmacist
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4500
DAVID K FALK MD
Dermatology
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
DAVID A SORBER MD
Internal Medicine
752 N HIGH POINT RD, DEAN MEDICAL CENTER
MADISON, WI 53717
Dane County (608) 824-4800
JULIA L. THORSEN M.D.
Allergy & Immunology
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
SARAH A OLIVER PA-C
Physician Assistant
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
DR. GRANT MACAULAY M.D.
Internal Medicine
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
DR. JUI B HAKER MD
Preventive Medicine (Occupational Medicine)
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000

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 Mary Evenson's NPI number?

The NPI number for Mary Evenson is 1659366565. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Mary Evenson located?

Mary Evenson practices at 752 N High Point Rd Dean Medical Center, Madison, WI 53717. The listed phone number is (608) 824-4000.

What is Mary Evenson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Evenson enrolled in Medicare?

Yes. Mary Evenson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Evenson was last updated on December 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.