MRS. KELLY ALLEN EVANS FNP
NPI 1992994164
Nurse Practitioner - Family in Lumberton, NC
About Mrs. Kelly Allen Evans Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY ALLEN EVANS FNP (NPI 1992994164) is an individual family provider in Lumberton, North Carolina, licensed in North Carolina (0050-13630) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly Allen Evans Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 51 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 28358 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LUMBERTON, NC 28358
LUMBERTON, NC 28358
LUMBERTON, NC 28358
LUMBERTON, NC 28358
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 Kelly Evans's NPI number?
The NPI number for Kelly Evans is 1992994164. It was assigned to this individual provider in the NPPES registry on October 23, 2007.
Where is Kelly Evans located?
Kelly Evans practices at 2936 N Elm St, Lumberton, NC 28358. The listed phone number is (910) 677-6619.
What is Kelly Evans's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Evans enrolled in Medicare?
Yes. Kelly Evans is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Evans's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Evans reassigns Medicare benefits to Fayetteville Area Health Education Foundation Inc (Fayetteville, NC). 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 Kelly 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 Kelly Evans was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Kelly Allen Evans, FNP · NPI 1992994164
Family physician in Lumberton, North Carolina. Individual provider, active in the CMS NPPES registry since October 23, 2007.
## Identity
- **NPI:** 1992994164 (Entity type: Individual)
- **Enumerated:** October 23, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0050-13630 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2936 N ELM ST, Lumberton, NC 28358-2981
- **Phone:** (910) 677-6619
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Fayetteville Area Health Education Foundation Inc (NPI 1811072812, Fayetteville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1992994164) · Data from the CMS NPPES public registry.