IDA KATRINA EVANS RN
NPI 1841949401
Nurse Practitioner - Neonatal in Provo, UT

Active since March 21, 2022PECOS Enrolled

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ida Katrina Evans Rn NPPES

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

IDA KATRINA EVANS RN (NPI 1841949401) is an individual neonatal provider in Provo, Utah, licensed in Utah (324214-4405) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841949401
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameIDA KATRINA EVANSCredential: RN
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Enumeration DateMarch 21, 2022
Last NPPES UpdateDecember 8, 2022
NPPES CertifiedDecember 8, 2022
✔ NPI 1841949401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in UT · 324214-4405
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 324214-3201 (UT)
1034 N 500 W, Provo, UT 84604

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ida Katrina Evans Rn 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.

Medicare Billing Reassignment

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

Pediatric Critical Care Medicine
1034 N 500 W
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 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 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Hospitalist
1034 N 500 W
PROVO, UT 84604
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604

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 Ida Evans's NPI number?

The NPI number for Ida Evans is 1841949401. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Ida Evans located?

Ida Evans practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7414.

What is Ida Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Ida Evans enrolled in Medicare?

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

Which organization bills Medicare for Ida Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ida Evans reassigns Medicare benefits to Ihc Health Services Inc (Provo, UT). 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 Ida Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ida Evans was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.