NPIMap

Individual provider Active NPI

Evelyn Marie Dreyer, ARNP

  • Family Nurse Practitioner
  • Peabody, MA
National Provider Identifier
1003979410
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007516 Issued in WA
Practice address
300 Jubilee Dr
Peabody, MA 01960-4068
Phone
(877) 341-9606
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30007516 WA Primary

Addresses

Primary practice location

300 Jubilee Dr
Peabody, MA 01960-4068

Mailing address

PO Box 1241
Tacoma, WA 98401-1241
Phone (253) 383-8342

Other practice location 1

7259 S Bingham Junction Blvd
Midvale, UT 84047-4860
Phone (800) 453-3030

Other identifiers 1

IdentifierTypeStateIssuer
9651563MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070919000325 WA Practitioner - Nurse Practitioner 9133223159 Reassigns benefits to 1 organization
I20251201002014 TX Practitioner - Nurse Practitioner 9133223159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahtna T' Aene Nene'Group PAC ID 3072404607, 14 clinicians

Practice addresses (Care Compare)

Mile 111 5 Richardson Hwy
Copper River Native Association
Copper Center, AK 99573-0508
Phone (907) 822-5241

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahtna T' Aene Nene' CurrentSince Dec 1, 2025 Accepting new patients
Community Health Center of Snohomish County CurrentSince Oct 24, 2022 Accepting new patients
Community Health Center of Snohomish County CurrentSince Oct 24, 2022 Accepting new patients
Western Washington Endoscopy Centers, LLC Past Accepting new patients
Digestive Health Specialists PS Past Accepting new patients
Washington Gastroenterology PLLC Family Past Accepting new patients

Locations

326 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2144

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1003979410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1241",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984011241",
            "telephone_number": "253-383-8342",
            "fax_number": "253-404-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JUBILEE DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604068",
            "telephone_number": "877-341-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7259 S Bingham Junction Blvd",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840474860",
            "country_code": "US",
            "telephone_number": "800-453-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREYER",
        "first_name": "EVELYN",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9651563",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.