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DR. JACOB EVANS DO
NPI 1679772693
Family Medicine in Keaau, HI

Active since July 11, 2007PECOS EnrolledAccepts Medicare Assignment
16-192 PILI MUA ST, KEAAU, HI 96749(808) 930-0400 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Evans Do NPPES

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

DR. JACOB EVANS DO (NPI 1679772693) is an individual family medicine provider in Keaau, Hawaii, licensed in Hawaii (DOS-1229) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1679772693
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACOB EVANSCredential: DO
Location Address16-192 PILI MUA STKeaau, HI 96749-8134
Mailing Address224 Haili St, Suite BHilo, HI 96720-2975 · (415) 215-2970
Phone(808) 930-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 11, 2007
Last NPPES UpdateDecember 15, 2021
✔ NPI 1679772693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in HI · DOS-1229✔ Licensed in CA · 20A9697
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16-192 PILI MUA ST, Keaau, HI 96749
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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

Dr. Jacob Evans Do 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 ID3678649217
PECOS Enrollment IDI20110914000358
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 96749 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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 16

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

WEST HAWAII COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
16-192 PILI MUA ST
KEAAU, HI 96749
Hawaii County (808) 930-0400
DR. NATHAN SLUSARSKI DDS
Student in an Organized Health Care Education/Training Program
16-192 PILI MUA ST
KEAAU, HI 96749
Hawaii County (808) 333-3600
DR. EILEEN CHENG R.PH.
Pharmacist
16-192 PILI MUA ST
KEAAU, HI 96749
Hawaii County (808) 333-3600
AMY J DUERLER APRN
Nurse Practitioner (Family)
16-192 PILI MUA ST
KEAAU, HI 96749
Hawaii County (808) 930-0400
MAYA SUNAR
Student in an Organized Health Care Education/Training Program
16-192 PILI MUA ST
KEAAU, HI 96749
Hawaii County (808) 333-3600
BRILEY MOATES
Student in an Organized Health Care Education/Training Program
16-192 PILI MUA ST
KEAAU, HI 96749
Hawaii County (808) 333-3600
JASON KAOPUA DMD
Dentist
16-192 PILI MUA ST, KEAAU FAMILY HEALTH CENTER
KEAAU, HI 96749
Hawaii County (808) 930-0400
RACHEL KRUSE
Counselor (Addiction (Substance Use Disorder))
16-192 PILI MUA ST
KEAAU, HI 96749
Hawaii County (808) 930-0453

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 Jacob Evans's NPI number?

The NPI number for Jacob Evans is 1679772693. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Jacob Evans located?

Jacob Evans practices at 16-192 Pili Mua St, Keaau, HI 96749. The listed phone number is (808) 930-0400.

What is Jacob Evans's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Evans enrolled in Medicare?

Yes. Jacob 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.

When was this NPI record last updated?

The NPPES record for Jacob Evans was last updated on December 15, 2021. 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.