Evan Perez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5469 Issued in CT

Practice address

625 Clark Ave # B
Bristol, CT 06010-4068

Phone

(860) 583-7700

NPI assigned

Mar 24, 2022

Last updated

Mar 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 CT

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 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
• Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
• Bristol Hospital Home Care Agency Home health agency, Bristol, CT, CCN 077198
• Bristol Hospital Hospital, Bristol, CT, CCN 070029
• Hospital for Special Care Long-term care hospital, New Britain, CT, CCN 072004

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: evan.perez.npi1659021699.phpct@direct.optumcare.masshiway.net

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.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment Care Compare group

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

• Bristol Home Care and Hospice Agency Inc

  • Home Health Agency
  • Bristol, CT
  • NPI 1811092273
  Care Compare affiliation
• Bristol Hospital Incorporated

  • General Acute Care Hospital
  • Bristol, CT
  • NPI 1619901642
  Care Compare affiliation
• Hartford Healthcare at Home, Inc

  • Home Health Agency
  • Wethersfield, CT
  • NPI 1073529566
  Care Compare affiliation
• Hospital for Special Care

  • Long Term Care Hospital
  • New Britain, CT
  • NPI 1477534089

  Long-term care hospital

  Care Compare affiliation
• New England Home Care Inc.

  dba Elara Caring

  • Home Health Agency
  • Rocky Hill, CT
  • NPI 1255333597
  Care Compare affiliation

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1659021699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BROWN ST UNIT 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115744",
            "telephone_number": "361-813-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CLARK AVE # B",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104068",
            "telephone_number": "860-583-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EVAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Pekhnik, MFT
• Nicole Marie Pensiero
• Maria Manuela Pereira, M.D
• Christina Perez
• Dorothy Jessica Perez, APRN
• Ashley Lynn Perfetto, APRN
• David W Perkins, DMD
• Kimberly Ann Perry Sheridan, PTA
• Lakreshia Perry, LMSW
• Christina Ann Petry

• Physician Assistant in Bristol, CT
• Providers in Bristol, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.