Ronequa Evans, NP-C
Individual provider Active NPI Family Nurse Practitioner · Pearl, MS
NPI 1982205423 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1982205423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 903828 (MS)
- Practice address
- 811 Clubhouse Dr
Pearl, MS 39208-7023 - Phone
- (601) 421-4375
- NPI assigned
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Mississippi - University of Mississippi Medical Center
Practice addresses (Care Compare)
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775
Hospital & facility affiliations
- Medical Mall Dialysis
- University of Mississippi Med Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211103000514 | MS | Practitioner - Nurse Practitioner | 9234527722 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current |
Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current |
Accepting new patients |
Locations
504 Clinton Center Dr
Ste 4300
Clinton, MS 39056
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
Interoperability endpoints
- revans7112@ummc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 903828 | MS | Yes |
Addresses
Primary practice location
811 Clubhouse Dr
Pearl, MS 39208-7023
Mailing address
811 Clubhouse Dr
Pearl, MS 39208-7023
Phone (601) 421-4375
Other names
- Ronequa M Evans
Other providers in Pearl, MS
- Wilma Dixon
- D. Jason Eklund
- Shalitha Ervin
- Essilor Laboratories of America, Inc
- Carleen Evans
- Family Health Care Clinic, Inc.
- First Intermed Corporation
- David T Flemming
- Esquanickia C Fletcher
- Flowood River Oaks Hma Medical Group, LLC
All providers in Pearl, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.