Evolve Health Partners
NPI 1831834969ActiveOrganization· Nurse Practitioner, Adult Health· Pasadena, MD
Nurse Practitioner, Adult Health in Pasadena, Maryland, registered in NPPES in May 2022, part of Evolve Health Partners. The authorized official on file is Jessie Costley, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831834969 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Evolve Health Partners |
| NPI issued | May 3, 2022 |
| Last updated in NPPES | Sep 29, 2023 |
| Certified by provider | Sep 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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