Tracy A Evans, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

CPA00245 Issued in RI

Practice address

2138 Mendon Rd
Suite 302
Cumberland, RI 02864-3834

Phone

(401) 334-1060

Fax

(401) 334-1063

NPI assigned

Sep 26, 2005

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in RI

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
• Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracy.evans.1@13709.direct.athenahealth.com

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.

• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Providence, RI
  • NPI 1235181041
  Medicare reassignment Care Compare group NPD
• Prospect Chartercare RWMC, LLC

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1285059287
  Medicare reassignment NPD
• Chartercare Roger Williams Medical Center

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1649009507
  Medicare reassignment
• Orthopaedic Associates Inc

  • Orthopaedic Surgery Physician
  • Cranston, RI
  • NPI 1215964465
  Medicare reassignment
• Prospect Chartercare RWMC, LLC

  • Cardiovascular Disease Physician
  • Providence, RI
  • NPI 1326463548
  NPD
• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Cranston, RI
  • NPI 1285320093
  NPD

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

• Prospect Chartercare RWMC, LLC

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1013332014
  Care Compare affiliation
• Prospect Chartercare Sjhsri, LLC

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  Care Compare affiliation

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1922094853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "SUITE 101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-3800",
            "fax_number": "401-944-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 MENDON RD",
            "address_2": "SUITE 302",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643834",
            "telephone_number": "401-334-1060",
            "fax_number": "401-334-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "RI",
            "license": "CPA00245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "2036",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408249",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008740",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE",
            "identifier": "1922094853",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Surgical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.