Jacob Evansun, FNP-C - Medicare Nurse Practitioner in Washington, GA

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Jacob Evansun, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Washington, Georgia. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hospital Authority Of Wilkes County and his current practice location is 212 Hospital Dr, Washington, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 678-6944.

Jacob Evansun is licensed to practice in Georgia (license number RN278189) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770281784.

Contact Information

Jacob Evansun, FNP-C
212 Hospital Dr,
Washington, GA 30673-5619
(706) 678-6944
Not Available

Map and Direction




Provider's Profile

Full NameJacob Evansun
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location212 Hospital Dr, Washington, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Evansun graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1770281784
  • Provider Enumeration Date: 02/20/2023
  • Last Update Date: 01/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9133577950
  • Enrollment ID: I20231204002960

Medical Identifiers

Medical identifiers for Jacob Evansun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770281784NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN278189 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wills Memorial HospitalWashington, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Authority Of Wilkes County86280514898

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Evansun allows following entities to bill medicare on his behalf.
Entity NameGreater Athens Physicians, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639128143
PECOS PAC ID: 4587652474
Enrollment ID: O20040430001028
Entity NameHospital Authority Of Wilkes County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801128863
PECOS PAC ID: 8628051489
Enrollment ID: O20040611000522
Entity NameRural Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932586476
PECOS PAC ID: 8820305600
Enrollment ID: O20201029003001

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Evansun is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Evansun, FNP-C
350 Woodgrove Dr,
Athens, GA 30605-7509

Ph: (253) 314-2374		Jacob Evansun, FNP-C
212 Hospital Dr,
Washington, GA 30673-5619

Ph: (706) 678-6944

Reviews and Comments


Nurse Practitioner Nurses in Washington, GA

Helen Charlene Brooks, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 123 Gordon St, Washington, GA 30673
Phone: 706-678-1633    Fax: 706-648-1634

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.