Evelena Cousin-Peterson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME138727 Issued in FL

Practice address

12901 Bruce B Downs Blvd
MDC 41
Tampa, FL 33612-4742

Phone

(813) 844-7412

Fax

(813) 974-8359

NPI assigned

Apr 11, 2013

Last updated

Aug 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Specialty Associates PLLCGroup PAC ID 7618235995, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reston Hospital Center Hospital, Reston, VA, CCN 490107
• Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Urgent Specialty Associates PLLC

  • Surgery Physician
  • Richmond, VA
  • NPI 1487164604

  DC

  Medicare reassignment Care Compare group NPD

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

• Bon Secours St Mary's Hospital of Richmond LLC

  dba Bon Secours Laboratory Services - Richmond

  • Clinical Medical Laboratory
  • Richmond, VA
  • NPI 1588129480

  Hospital

  Care Compare affiliation
• Bon Secours St. Mary's Hospital of Richmond LLC

  dba Bon Secours St Mary's Hospital

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1962464016
  Care Compare affiliation
• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours St. Mary's Hospital Sleep Lab

  • Sleep Disorder Diagnostic Clinic/Center
  • Mechanicsville, VA
  • NPI 1457687543

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours St. Mary's Hospital Sleep Lab

  • Sleep Disorder Diagnostic Clinic/Center
  • Midlothian, VA
  • NPI 1548596638

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours St. Mary's Hospital Heart and Vascular Institute

  • Cardiac Rehabilitation Clinic/Center
  • Richmond, VA
  • NPI 1902132095

  Hospital

  Care Compare affiliation
• Bon Secours-St. Mary's Hospital of Richmond, Inc.

  dba Bon Secours St. Mary's Hospital Sleep Lab

  • Sleep Disorder Diagnostic Clinic/Center
  • Richmond, VA
  • NPI 1992031348

  Hospital

  Care Compare affiliation
• Reston Hospital Center LLC

  dba Reston Hospital Center

  • General Acute Care Hospital
  • Reston, VA
  • NPI 1053363853
  Care Compare affiliation

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1114360849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 VINTAGE VIEW PASS",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 BRUCE B DOWNS BLVD",
            "address_2": "MDC 41",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124742",
            "telephone_number": "813-844-7412",
            "fax_number": "813-974-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSIN-PETERSON",
        "first_name": "EVELENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME138727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courstratum Transpo, LLC (CourStratum)
• Candice Marie Courtney
• Keisha Renae Courtney, RBT
• Darren J Courtright, DPM
• Craig Steven Courville, M.D.
• Alan Cousin, MD
• Clinton Coutain
• Pamela A Couture, ARNP
• Jerome Claude Couve, LMT
• Rowin Windle Couve, CRNA

• Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.