JORDAN ELIZABETH EVANICKI PA-C
NPI 1679974372
Physician Assistant - Medical in Rochester, NY

Q: What is Jordan Evanicki's NPI number?

The NPI number for Jordan Evanicki is 1679974372. It was assigned to this individual provider in the NPPES registry on September 12, 2014.

Q: What is Jordan Evanicki's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Evanicki was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 12, 2014PECOS EnrolledAccepts Medicare Assignment

80.59/100

CMS Quality Rating

601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-9555 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, May 15, 2023, Dec 9, 2015 (3 updates tracked since 2015).

On this page

About Jordan Elizabeth Evanicki Pa-c NPPES

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

JORDAN ELIZABETH EVANICKI PA-C (NPI 1679974372) is an individual medical provider in Rochester, New York and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1679974372

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJORDAN ELIZABETH EVANICKICredential: PA-C

Location Address601 ELMWOOD AVERochester, NY 14642-5647

Mailing Address601 Elmwood Ave Box 655Rochester, NY 14642-8655

Phone(585) 275-9555

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 12, 2014

Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1679974372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedPhysician AssistantTaxonomy 363A00000X · License 18081 (NY)

601 ELMWOOD AVE, Rochester, NY 14642

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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

Jordan Elizabeth Evanicki Pa-c 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 ID8022332410

PECOS Enrollment IDI20150113000149

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.9

Promoting Interoperability

100

Improvement Activities

Cost

55.03

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.

CARIE E BRADT RPA-C

Physician Assistant

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-6070

DR. RITA DADIZ DO

Pediatrics (Neonatal-Perinatal Medicine)

601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642

Monroe County (585) 275-7787

DR. SCOTT ROSS SCHIFFMAN M.D.

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642

Monroe County (585) 275-1128

SARAH ANNE ROSSI FNP

Nurse Practitioner (Family)

601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642

Monroe County (585) 279-5100

JIMENA CUBILLOS MD

Urology (Pediatric Urology)

601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642

Monroe County (585) 275-3342

MRS. ANNE SCHERBERGER KEEFER RN NP

Nurse Practitioner (Adult Health)

601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642

Monroe County (585) 275-5307

SCOTT OVERHOLT DDS

Student in an Organized Health Care Education/Training Program

601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642

Monroe County (585) 275-7978

MS. SARAH L AVERILL MD

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-2100

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 Jordan Evanicki's NPI number?

The NPI number for Jordan Evanicki is 1679974372. It was assigned to this individual provider in the NPPES registry on September 12, 2014.

Where is Jordan Evanicki located?

Jordan Evanicki practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-9555.

What is Jordan Evanicki's specialty?

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

Is Jordan Evanicki enrolled in Medicare?

Yes. Jordan Evanicki 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 Jordan Evanicki was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.