Individual provider Active NPI

Jacqueline Ann Evans, DO

  • Gynecologic Oncology Physician
  • Lancaster, PA
National Provider Identifier
1851378871
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
OS008644L Issued in PA
Practice address
2150 Noll Dr
Lancaster, PA 17603
Phone
(717) 874-4297
Fax
(717) 874-4298
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X OS008644L PA Primary

Addresses

Primary practice location

2150 Noll Dr
Lancaster, PA 17603

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 874-4297

Other practice location 1

694 Good Dr Ste 205
Lancaster, PA 17601-2433
Phone (717) 544-3190

Other practice location 2

694 Good Dr Ste 205
Lancaster, PA 17601-2433
Phone (717) 544-3190

Other identifiers 2

IdentifierTypeStateIssuer
001726636MedicaidPA
0017266360008MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jevans64475@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100422001062 PA Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 6608903695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1500 Highlands Dr
Lititz, PA 17543-7694
Phone (717) 568-8865

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623

1703 Innovation Dr
York, PA 17408-8815

18 N St
Hanover, PA 17331-2275

20 N St
Upmc Maternal Fetal Medicine
Hanover, PA 17331-2275
Phone (717) 231-8472

2150 Noll Dr
Suite 220
Lancaster, PA 17603-7605
Phone (717) 988-0611

2150 Noll Drive
Lancaster, PA 17603-7605

2150 Noll Drve
Suite 200
Lancaster, PA 17603-7605
Phone (717) 544-3190

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 316-3711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS008644LPAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2018 Accepting new patients
Pinnacle Health Medical Services Gynecologic Oncology Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2018 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2150 Noll Dr
Ste 200
Lancaster, PA 17603
Phone (717) 874-4297

694 Good Dr
Ste 205
Lancaster, PA 17601
Phone (717) 290-3190

Interoperability endpoints

  • Direct secure messaging: jevans19284@upmc.direct-ci.com

Organizations & group practices 4

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1851378871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-874-4297",
            "fax_number": "717-874-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NOLL DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-874-4297",
            "fax_number": "717-874-4298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "694 Good Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012433",
            "country_code": "US",
            "telephone_number": "717-544-3190",
            "fax_number": "717-544-3189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "694 Good Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012433",
            "country_code": "US",
            "telephone_number": "717-544-3190",
            "fax_number": "717-544-3189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "OS008644L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001726636",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017266360008",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jevans64475@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2150 Noll Dr",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.