KELLY NICOLE EVANS MD
NPI 1720196264
Pediatrics in Seattle, WA
About Kelly Nicole Evans Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY NICOLE EVANS MD (NPI 1720196264) is an individual pediatrics provider in Seattle, Washington, licensed in Washington (ML20008094) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Nicole Evans Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- 1,443 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
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 Kelly Evans's NPI number?
The NPI number for Kelly Evans is 1720196264. It was assigned to this individual provider in the NPPES registry on August 25, 2006.
Where is Kelly Evans located?
Kelly Evans practices at 1959 NE Pacific St C-212, Box 356340, Seattle, WA 98195. The listed phone number is (206) 543-0065.
What is Kelly Evans's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kelly Evans enrolled in Medicare?
Yes. Kelly Evans is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Evans's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Evans reassigns Medicare benefits to The Association Of Chrmc And University Physicians (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Evans accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kelly Evans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Evans was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kelly Nicole Evans, MD · NPI 1720196264
Pediatrics physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since August 25, 2006.
## Identity
- **NPI:** 1720196264 (Entity type: Individual)
- **Enumerated:** August 25, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** ML20008094 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1959 NE PACIFIC ST, C-212, BOX 356340, Seattle, WA 98195-6340
- **Phone:** (206) 543-0065
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Association Of Chrmc And University Physicians (NPI 1255449963, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1720196264) · Data from the CMS NPPES public registry.