NPIMap

Individual provider Active NPI

Lauren Evoniuk, PA-C

  • Physician Assistant
  • Chincoteague, VA
National Provider Identifier
1194479295
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4049 Main St
Chincoteague, VA 23336-2406
Phone
(757) 336-3682
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4049 Main St
Chincoteague, VA 23336-2406

Mailing address

20280 Market St
Onancock, VA 23417-1331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220405001338 VA Practitioner - Physician Assistant 4082000831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians
Eastern Shore Rural Health System IncorporatedGroup PAC ID 2668380106, 38 clinicians

Practice addresses (Care Compare)

2203 E Little Creek Rd
Roosevelt Family Practice
Norfolk, VA 23518-4205
Phone (757) 583-2181

4049 Main St
Chincoteague, VA 23336-2406
Phone (757) 336-3682

Hospital & facility affiliations

  • Riverside Shore Home Health Home health agency, Accomac, VA, CCN 497507
  • Kind Hearts Home health agency, Oak Hall, VA, CCN 497768
  • Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Nov 1, 2025 Accepting new patients
Eastern Shore Rural Health System Incorporated CurrentSince Mar 7, 2022 Accepting new patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients
Bayview Physician Services, PC CurrentSince Nov 1, 2025 Accepting new patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients
Eastern Shore Rural Health System Incorporated CurrentSince Mar 7, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

4049 Main St
Chincoteague Island, VA 23336
Phone (757) 336-3682

5219 Lankford Hwy
New Church, VA 23415
Phone (757) 824-5676

2203 E Little Creek Rd
Norfolk, VA 23518
Phone (757) 583-2181

20280 Market St
Onancock, VA 23417
Phone (757) 787-7374

Organizations & group practices 8

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1194479295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 MAIN ST",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233362406",
            "telephone_number": "757-336-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVONIUK",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chincoteague, VA

Sources for this page

Verify at the official NPI Registry.