Individual provider Active NPI

Deborah Ann Evans, APRN,ANP-C

  • Adult Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1255572020
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9212204 Issued in FL
Practice address
4145 SW Watson Ave Ste 350
Beaverton, OR 97005-2191
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 304581 AZ
Adult Health Nurse Practitioner 363LA2200X 9212204 FL Primary
Nurse Practitioner 363L00000X AP61584948 WA
Nurse Practitioner 363L00000X APN.1000015-NP CO
Nurse Practitioner 363L00000X 202001204NP-PP OR
Nurse Practitioner 363L00000X 116445 NE
Nurse Practitioner 363L00000X APRN-5406 HI
Nurse Practitioner 363L00000X LP-0010692 DE
Nurse Practitioner 363L00000X A0109025 FL

Addresses

Primary practice location

4145 SW Watson Ave Ste 350
Beaverton, OR 97005-2191

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR, AZ, CO, WA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20090805000381 FL Practitioner - Nurse Practitioner 5991858144 Reassigns benefits to 1 organization
I20240418003354 OR Practitioner - Nurse Practitioner 5991858144 Reassigns benefits to 1 organization
I20240606002711 AZ Practitioner - Nurse Practitioner 5991858144 Reassigns benefits to 1 organization
I20240816003877 CO Practitioner - Nurse Practitioner 5991858144 Reassigns benefits to 1 organization
I20240925003716 WA Practitioner - Nurse Practitioner 5991858144 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0010692DEMDNurse Practitioner
A0109025FLMDNurse Practitioner
APRN-5406HIMDNurse Practitioner
116445NEMDNurse Practitioner
9212204FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical Group Professional Corporation CurrentSince Mar 21, 2024 Accepting new patients
Promed Ipa LLC Past Accepting new patients

Locations

16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

4145 SW Watson Ave
Ste 350
Beaverton, OR 97005
Phone (503) 728-8546

1220 Main St
Ste 400
Vancouver, WA 98660
Phone (360) 230-8557

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1255572020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 SW WATSON AVE STE 350",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052191",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "APRN,ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "304581",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9212204",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61584948",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.1000015-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202001204NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "116445",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-5406",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0010692",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "A0109025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.