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KENYATTA EVANS M.D.
NPI 1972816106
Emergency Medicine in St. Louis, MO

Active since July 16, 2010PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
3635 VISTA AT GRAND BLVD, 3RD FLOOR WEST PAVILLION, ROOM 320, ST. LOUIS, MO 63110(314) 268-7133 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenyatta Evans M.d. NPPES

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

KENYATTA EVANS M.D. (NPI 1972816106) is an individual emergency medicine provider in St. Louis, Missouri, licensed in Missouri (2010021896) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2010).

NPPES Registry Identity

NPI1972816106
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKENYATTA EVANSCredential: M.D.
Location Address3635 VISTA AT GRAND BLVD, 3RD FLOOR WEST PAVILLION, ROOM 320St. Louis, MO 63110-1571
Mailing Address1256 Parmer DrFlorissant, MO 63031-1964
Phone(314) 268-7133
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2010
Enumeration DateJuly 16, 2010
Last NPPES UpdateJune 25, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1972816106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MO · 2010021896✔ Licensed in CA · A123575
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3635 VISTA AT GRAND BLVD, 3RD FLOOR WEST PAVILLION, St. Louis, MO 63110
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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

Kenyatta Evans M.d. 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 ID2163663394
PECOS Enrollment IDI20130730000656
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 Kenyatta Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America-California
1,401 mi
Emergency Medicine
250 N 1ST ST
Blythe, CA 92225
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1710826581 (760) 922-4115

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

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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 Kenyatta Evans's NPI number?

The NPI number for Kenyatta Evans is 1972816106. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Kenyatta Evans located?

Kenyatta Evans practices at 3635 Vista At Grand Blvd, 3rd Floor West Pavillion Room 320, St. Louis, MO 63110. The listed phone number is (314) 268-7133.

What is Kenyatta Evans's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenyatta Evans enrolled in Medicare?

Yes. Kenyatta Evans 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 organization bills Medicare for Kenyatta Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenyatta Evans reassigns Medicare benefits to Cep America-California (Blythe, CA). 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 Kenyatta 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 Kenyatta Evans was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.