Evolution Joint Pain Clinic
NPI 1932871985ActiveOrganization· Naturopath· Eagle, ID
Naturopath in Eagle, Idaho, registered in NPPES in September 2021. The authorized official on file is Jeremy Lamont Payne, ND, DC, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932871985 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2021 |
| Last updated in NPPES | Aug 18, 2026 |
| Certified by provider | Aug 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Naturopath Primary | 175F00000X | — | — |
| Registered Nurse | 163W00000X | — | — |
| Pain Medicine, Pain Medicine | 208VP0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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