JACOB EVANSUN FNP-C
NPI 1770281784
Nurse Practitioner - Family in Washington, GA
About Jacob Evansun Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB EVANSUN FNP-C (NPI 1770281784) is an individual family provider in Washington, Georgia, licensed in Georgia (RN278189) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with Wills Memorial Hospital, and is a graduate of Other (2022).
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 and accepts Medicare assignment
Jacob Evansun Fnp-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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacob Evansun reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, GA 30673
- Reassigned Medicare billing, Georgia enrollment
- 7 clinicians in this Medicare group
Watkinsville, GA 30677
- Reassigned Medicare billing, Georgia enrollment
- 6 clinicians in this Medicare group
Centre, AL 35960
- Reassigned Medicare billing, Georgia enrollment
- 157 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wills Memorial Hospital
Critical Access Hospitals · Washington, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30673 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, GA 30673
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 Evansun's NPI number?
The NPI number for Jacob Evansun is 1770281784. It was assigned to this individual provider in the NPPES registry on February 20, 2023.
Where is Jacob Evansun located?
Jacob Evansun practices at 212 Hospital Dr, Washington, GA 30673. The listed phone number is (706) 678-6944.
What is Jacob Evansun's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacob Evansun enrolled in Medicare?
Yes. Jacob Evansun 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.
Which organizations bill Medicare for Jacob Evansun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Evansun reassigns Medicare benefits to 3 organizations: Hospital Authority Of Wilkes County (Washington, GA), Greater Athens Physicians, Inc (Watkinsville, GA) and Rural Urgent Care LLC (Centre, AL). Each 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 Jacob Evansun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Evansun accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jacob Evansun 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.
Is Jacob Evansun affiliated with any hospitals?
According to CMS data, Jacob Evansun is affiliated with Wills Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Evansun was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jacob Evansun, FNP-C · NPI 1770281784
Family physician in Washington, Georgia. Individual provider, active in the CMS NPPES registry since February 20, 2023.
## Identity
- **NPI:** 1770281784 (Entity type: Individual)
- **Enumerated:** February 20, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN278189 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 212 HOSPITAL DR, Washington, GA 30673-5619
- **Phone:** (706) 678-6944
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hospital Authority Of Wilkes County (NPI 1023332970, Washington, GA); Greater Athens Physicians, Inc (NPI 1639128143, Watkinsville, GA); Rural Urgent Care LLC (NPI 1932586476, Centre, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770281784) · Data from the CMS NPPES public registry.