Individual provider Active NPI

Frederick K Evans Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Reston, VA
National Provider Identifier
1780926980
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024170712 Issued in VA
Practice address
11341 Sunset Hills Rd
Reston, VA 20190-5205
Phone
(703) 471-0919
Fax
(703) 472-9081
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024170712 VA Primary

Addresses

Primary practice location

11341 Sunset Hills Rd
Reston, VA 20190-5205

Mailing address

3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (919) 882-0705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130503000176 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183861552 Reassigns benefits to 10 organizations
I20140924002609 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183861552 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Old Dominion Anesthesia LLCGroup PAC ID 8820462765, 57 clinicians
Inova Cares - CommunityGroup PAC ID 9537526330, 187 clinicians

Practice addresses (Care Compare)

1800 N Beauregard St
Suite 200
Alexandria, VA 22311-1725
Phone (703) 823-3750

1939 Roland Clarke PL
Suite 200
Reston, VA 20191-1445
Phone (703) 766-2650

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Hospital & facility affiliations

  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024170712VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 8, 2015 Accepting new patients
Ambulatory Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2022 Accepting new patients
Old Dominion Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 20, 2024 Accepting new patients
Montgomery Anesthesia Care, LLC CurrentSince May 20, 2015 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Aug 17, 2015 Accepting new patients
Reston Anesthesia Associates, PC CurrentSince Apr 22, 2013 Accepting new patients
Surgical Anesthesia Associates, PLLC CurrentSince Jul 18, 2016 Accepting new patients
Outpatient Anesthesia Services of Reston, LTD CurrentSince Sep 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Dec 1, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 8, 2015 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Aug 17, 2015 Accepting new patients
Inova Cares - Community CurrentSince Jun 12, 2023 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

1 University Ave
Ste 104
Westwood, MA 02090

6400 Goldsboro Rd
Ste 400
Bethesda, MD 20817
Phone (301) 263-0800

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

15005 Shady Grove Rd
Ste 200
Rockville, MD 20850
Phone (301) 340-8099

1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750

6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393

1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3620 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 766-6960

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1211 Central Park Blvd
Fredericksburg, VA 22401
Phone (267) 742-8283

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8644 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (571) 349-2191

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

11341 Sunset Hills Rd
Reston, VA 20190

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

1939 Roland Clarke Pl
Ste 200
Reston, VA 20191
Phone (703) 435-3366

1800 Alexander Bell Dr
Ste 515
Reston, VA 20191
Phone (703) 535-6640

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1780926980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-882-0705",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11341 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905205",
            "telephone_number": "703-471-0919",
            "fax_number": "703-472-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "FREDERICK",
        "middle_name": "K",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024170712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.