1. Home
  2. Directory
  3. California
  4. Irvine
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVANGELINE ROSE ROBERTSHAW PA-C
NPI 1902629785
Physician Assistant - Surgical in Irvine, CA

Active since November 01, 2024PECOS EnrolledAccepts Medicare Assignment
6640 ALTON PKWY, IRVINE, CA 92618(833) 574-2273 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Nov 13, 2024 (2 updates tracked since 2024).

About Evangeline Rose Robertshaw Pa-c NPPES

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

EVANGELINE ROSE ROBERTSHAW PA-C (NPI 1902629785) is an individual surgical provider in Irvine, California, licensed in Illinois (085010895) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902629785
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameEVANGELINE ROSE ROBERTSHAWCredential: PA-C
Location Address6640 ALTON PKWYIrvine, CA 92618-3734
Mailing Address3430 E La Palma AveAnaheim, CA 92806-2020
Phone(833) 574-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 1, 2024
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1902629785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085010895
6640 ALTON PKWY, Irvine, CA 92618
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evangeline Rose Robertshaw Pa-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.

PECOS PAC ID6002342185
PECOS Enrollment IDI20241212002164
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

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.

MRS. KIMBERLY LEILANI EDICK R.N.
Student in an Organized Health Care Education/Training Program
6640 ALTON PKWY
IRVINE, CA 92618
Orange County (949) 932-5000
MS. MARIANNA HELEN GABRIEL RD CHES
Dietitian, Registered
6640 ALTON PKWY
IRVINE, CA 92618
Orange County (949) 932-6734
SAHAR TOFIGH
Respiratory Therapist, Certified
6640 ALTON PKWY
IRVINE, CA 92618
Orange County (949) 932-6880
JESSICA TING LIU
Respiratory Therapist, Certified
6640 ALTON PKWY
IRVINE, CA 92618
Orange County (949) 932-6880
ANDERSON VU
Internal Medicine
6640 ALTON PKWY
IRVINE, CA 92618
Orange County (833) 574-2273
JEFFREY BURKHOLDER
Registered Nurse (Administrator)
6640 ALTON PKWY
IRVINE, CA 92618
Orange County (949) 932-2863
ADAM WOOTTON ARRT(R)(MR)
Radiology (Diagnostic Radiology)
6640 ALTON PKWY
IRVINE, CA 92618
Orange County (714) 928-7715
MS. LILLIAN JARA MORELL MSW, LCSW
Social Worker (Clinical)
6640 ALTON PKWY
IRVINE, CA 92618
Orange County (949) 932-2970

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 Evangeline Robertshaw's NPI number?

The NPI number for Evangeline Robertshaw is 1902629785. It was assigned to this individual provider in the NPPES registry on November 1, 2024.

Where is Evangeline Robertshaw located?

Evangeline Robertshaw practices at 6640 Alton Pkwy, Irvine, CA 92618. The listed phone number is (833) 574-2273.

What is Evangeline Robertshaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Evangeline Robertshaw enrolled in Medicare?

Yes. Evangeline Robertshaw 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.

Is Evangeline Robertshaw affiliated with any hospitals?

According to CMS data, Evangeline Robertshaw is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Evangeline Robertshaw was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.