1. Home
  2. Directory
  3. West Virginia
  4. Petersburg
  5. Nurse Practitioner
  6. NPI Profile

MADISON EVANS FNP-BC
NPI 1790412880
Nurse Practitioner - Family in Petersburg, WV

Active since August 08, 2022PECOS Enrolled
117 HOSPITAL DR, PETERSBURG, WV 26847(304) 257-1026(304) 257-1412 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2026, Aug 8, 2022 (2 updates tracked since 2022).

About Madison Evans Fnp-bc NPPES

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

MADISON EVANS FNP-BC (NPI 1790412880) is an individual family provider in Petersburg, West Virginia, licensed in West Virginia (124389) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Petersburg, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790412880
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADISON EVANSCredential: FNP-BC
Location Address117 HOSPITAL DRPetersburg, WV 26847-9566
Mailing AddressPo Box 876Morgantown, WV 26507-0876 · (304) 257-1026 · Fax (304) 257-1412
Phone(304) 257-1026
Fax(304) 257-1412
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 8, 2022
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1790412880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 124389
Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License 101666 (WV)
117 HOSPITAL DR, Petersburg, WV 26847
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Grant County Board of Education, 204 Jefferson AvenuePetersburg, WV 26847 · Phone (304) 267-3595 ext. 138

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Evans Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022503762
PECOS Enrollment IDI20251219003041
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.

Medicare Billing Reassignment

Medicare enrollment records show Madison Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grant Memorial Hospital Inc
Same address
Critical Access
117 HOSPITAL DR
Petersburg, WV 26847
  • Reassigned Medicare billing, West Virginia enrollment
  • 85 clinicians in this Medicare group
NPI 1013603919 (304) 257-1026

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 26847 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

ANDREW ARLIE FUNK APRN-FNP BC
Nurse Practitioner (Family)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
GRANT MEMORIAL HOSPITAL INC
General Acute Care Hospital (Critical Access)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
MRS. KELLY D SMITH-RIGGLEMAN PAC
Physician Assistant (Medical)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
ROBIN PHARES CRNP
Nurse Practitioner (Family)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
BRENTON ROBERT HARMAN RPH
Pharmacist
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
MITCHELL JOSEPH MASON
Physical Therapist
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
AMY BRETT BENSENHAVER FNP
Clinic/Center (Urgent Care)
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026
GLENN K GEETING MD
Emergency Medicine
117 HOSPITAL DR
PETERSBURG, WV 26847
Grant County (304) 257-1026

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 Madison Evans's NPI number?

The NPI number for Madison Evans is 1790412880. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Madison Evans located?

Madison Evans practices at 117 Hospital Dr, Petersburg, WV 26847. The listed phone number is (304) 257-1026.

What is Madison Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Madison Evans enrolled in Medicare?

Yes. Madison Evans is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madison Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Evans reassigns Medicare benefits to Grant Memorial Hospital Inc (Petersburg, WV). 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 Madison Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Evans accept?

Health plans from CareSource list Madison 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 Madison Evans was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.