JEAN K EVANGELISTI APRN
NPI 1760464903
Nurse Practitioner - Adult Health in Torrington, CT

Active since November 15, 2005PECOS Enrolled
780 LITCHFIELD ST, SUITE 200, TORRINGTON, CT 06790(860) 489-1984(860) 496-2195 Get Directions Write a Review

NPPES record last updated: July 23, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jean K Evangelisti Aprn NPPES

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

JEAN K EVANGELISTI APRN (NPI 1760464903) is an individual adult health provider in Torrington, Connecticut, licensed in Connecticut (002284) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760464903
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJEAN K EVANGELISTICredential: APRN
Location Address780 LITCHFIELD ST, SUITE 200Torrington, CT 06790-6268
Mailing Address780 Litchfield St, Suite 200Torrington, CT 06790-6268 · (860) 489-1984 · Fax (860) 496-2195
Fax(860) 496-2195
Sole ProprietorYes
Enumeration DateNovember 15, 2005
Last NPPES UpdateJuly 23, 2010
NPI 1760464903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CT · 002284
780 LITCHFIELD ST, Torrington, CT 06790

Other Identifiers 5

Other400002284CT01DE · Anthem- Insurance
Medicare UPINP06716
Medicaid004234481CT
Medicare PIND400008718CT
Other705146CT · Connecticare - Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jean K Evangelisti Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06790 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier15 claims21 services$12.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Nephrology)
780 LITCHFIELD ST, SUITE200
TORRINGTON, CT 06790
Clinic/Center
780 LITCHFIELD ST
TORRINGTON, CT 06790
Internal Medicine (Endocrinology, Diabetes & Metabolism)
780 LITCHFIELD ST
TORRINGTON, CT 06790
Internal Medicine (Nephrology)
780 LITCHFIELD ST, SUITE 200
TORRINGTON, CT 06790
Nurse Practitioner (Family)
780 LITCHFIELD ST
TORRINGTON, CT 06790
Physician Assistant
780 LITCHFIELD ST
TORRINGTON, CT 06790
Obstetrics & Gynecology
780 LITCHFIELD ST
TORRINGTON, CT 06790
Internal Medicine (Endocrinology, Diabetes & Metabolism)
780 LITCHFIELD ST
TORRINGTON, CT 06790

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760464903, enumerated as an "individual" on November 15, 2005.

The provider is located at 780 LITCHFIELD ST SUITE 200 TORRINGTON, CT 06790 and the phone number is (860) 489-1984.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.