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MRS. EVAN E MINTZ PA
NPI 1790030666
Physician Assistant - Medical in Chesapeake, VA

Active since July 17, 2012PECOS Enrolled
808 EDEN WAY N STE 102, CHESAPEAKE, VA 23320(757) 216-4030(757) 216-4029 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Evan E Mintz Pa NPPES

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

MRS. EVAN E MINTZ PA (NPI 1790030666) is an individual medical provider in Chesapeake, Virginia, licensed in Virginia (0110003897) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Suffolk.

NPPES Registry Identity

NPI1790030666
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. EVAN E MINTZCredential: PA
Location Address808 EDEN WAY N STE 102Chesapeake, VA 23320-0745
Mailing Address808 Eden Way N Ste 102Chesapeake, VA 23320-0745 · (757) 216-4030 · Fax (757) 216-4029
Phone(757) 216-4030
Fax(757) 216-4029
Sole ProprietorNo
Enumeration DateJuly 17, 2012
Last NPPES UpdateAugust 21, 2019
✔ NPI 1790030666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110003897
808 EDEN WAY N STE 102, Chesapeake, VA 23320
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Secondary Practice Location 1

Location 1154 Burnetts Way Ste 101Suffolk, VA 23434-8366 · Phone (757) 216-4030 · Fax (757) 216-4029

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Evan E Mintz Pa 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.

Other Providers at the Same Location NPPES 6

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

DR. BETH M WINKE M.D.
Physical Medicine & Rehabilitation
808 EDEN WAY N STE 102
CHESAPEAKE, VA 23320
Chesapeake City (757) 216-4030
RAYMOND MARVIN CLIFTON JR. PA-C
Physician Assistant
808 EDEN WAY N STE 102
CHESAPEAKE, VA 23320
Chesapeake City (757) 216-4030
WINKE ORTHOPEDIC PAIN MANAGEMENT CENTER
Physical Medicine & Rehabilitation
808 EDEN WAY N STE 102
CHESAPEAKE, VA 23320
Chesapeake City (757) 216-4030
BRITTANY MARIE FOX HORTON FNP-C
Nurse Practitioner (Family)
808 EDEN WAY N STE 102
CHESAPEAKE, VA 23320
Chesapeake City (757) 216-4030
HILLARY A. BAKER PA-C
Physician Assistant
808 EDEN WAY N STE 102
CHESAPEAKE, VA 23320
Chesapeake City (757) 216-4030
MISS DORIS MARIE CHANCE PA
Physician Assistant (Medical)
808 EDEN WAY N STE 102
CHESAPEAKE, VA 23320
Chesapeake City (757) 216-4030

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 Evan Mintz's NPI number?

The NPI number for Evan Mintz is 1790030666. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Evan Mintz located?

Evan Mintz practices at 808 Eden Way N Ste 102, Chesapeake, VA 23320. The listed phone number is (757) 216-4030.

What is Evan Mintz's specialty?

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

Is Evan Mintz enrolled in Medicare?

Yes. Evan Mintz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Mintz was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.