Rachael Blackburn Evans, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA08892600 Issued in NM

Practice address

321 N Warren St
Trenton, NJ 08618-4741

Phone

(609) 731-9857

Fax

(609) 695-3532

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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 NJ

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

Specialty

Family Practice

Education

New York University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry J Austin Health Center, IncGroup PAC ID 9739179409, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/5bb47b8f-8587-42a0-80df-8d4eecf69db3/
• Direct secure messaging: rachael.evans.2@12521.direct.athenahealth.com
• Direct secure messaging: rachael.evans.1@12521.direct.athenahealth.com

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Henry J Austin Health Center Inc

  dba Henry J Austin Health Center at Catholic Charities, Diocese of Trenton

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1063883882

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Henry J Austin Health Center, Inc.

  dba Henry J. Austin Health Center Mobile Health Unit

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1639713068

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Henry J. Austin Health Center, Inc.

  dba Henry J. Austin Health Center at Oaks Integrated Care

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1679945760

  Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Henry J Austin Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1275644809
  Medicare reassignment Care Compare group
• Capital Health System Inc

  dba Regional Medical Center

  • General Acute Care Hospital
  • Trenton, NJ
  • NPI 1275583726
  NPD (past)
• Capital Health System, Inc.

  dba Capital Health Medical Center - Hopewell

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  NPD (past)
• Henry J Austin Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1114101607
  NPD (past)
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  dba Penn Medicine Princeton House Behavioral Health

  • Psychiatric Hospital Unit
  • Princeton, NJ
  • NPI 1518009588
  NPD (past)
• Robert Wood Johnson University Hospital at Hamilton

  • General Acute Care Hospital
  • Hamilton, NJ
  • NPI 1629069638
  NPD (past)

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

• Capital Health System Inc

  dba Regional Medical Center

  • General Acute Care Hospital
  • Trenton, NJ
  • NPI 1275583726
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1922056167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184741",
            "telephone_number": "609-731-9857",
            "fax_number": "609-695-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184741",
            "telephone_number": "609-731-9857",
            "fax_number": "609-695-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RACHAEL",
        "middle_name": "BLACKBURN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "25MA08892600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Marie Ettenger, LPC
• Matthew S Etter, D.M.D.
• Miles Kenneth Ettman, RPH
• Sandra Etuk
• Eric Timothy Evans, DC
• Dwane Everett
• Levia N Eversley
• Ewing Medical Associates PA (Ewing Medical Associates)
• Ewing Medical Associates PA
• Stacie Ann Ewing, CASAC 2, LSW

• Family Medicine Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.