Mrs Regina Jonelle Evans, FNP - Medicare Nurse Practitioner in Shaw, MS

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Mrs Regina Jonelle Evans, FNP is a medicare enrolled "Nurse Practitioner - Family" in Shaw, Mississippi. Her current practice location is 112 W Peeler Ave, Shaw, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 754-3301.

Mrs Regina Jonelle Evans is licensed to practice in Mississippi (license number 903672) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609416544.

Contact Information

Mrs Regina Jonelle Evans, FNP
112 W Peeler Ave,
Shaw, MS 38773-8710
(662) 754-3301
(662) 754-3304

Map and Direction




Provider's Profile

Full NameMrs Regina Jonelle Evans
GenderFemale
SpecialityNurse Practitioner - Family
Location112 W Peeler Ave, Shaw, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609416544
  • Provider Enumeration Date: 01/08/2020
  • Last Update Date: 08/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991124562
  • Enrollment ID: I20200930003267

Medical Identifiers

Medical identifiers for Mrs Regina Jonelle Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609416544NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 903672 (Mississippi)Primary

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. Mrs Regina Jonelle Evans allows following entities to bill medicare on her behalf.
Entity NameDelta Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790701134
PECOS PAC ID: 6608775531
Enrollment ID: O20040108000636
Entity NameShaw Family Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750642633
PECOS PAC ID: 3072769843
Enrollment ID: O20120809000742
Entity NameMaking Moves In The Community Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851884266
PECOS PAC ID: 4284038738
Enrollment ID: O20210806000017

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. Mrs Regina Jonelle Evans 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
Mrs Regina Jonelle Evans, FNP
1722 Dahlia Dr,
Greenville, MS 38701-7347

Ph: (662) 207-0806		Mrs Regina Jonelle Evans, FNP
112 W Peeler Ave,
Shaw, MS 38773-8710

Ph: (662) 754-3301

Reviews and Comments


Nurse Practitioner Nurses in Shaw, MS

Teresa Wilson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    
Kimberly Robinson, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    Fax: 662-754-3301
Mrs. Willie Mary Bolden,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-745-6638    
Tiffany Sherell Newell, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    
Mrs. Sereka V Walker, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    Fax: 662-754-3304
Nora Cecelia Gough-davis, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 W Peeler Ave, Shaw, MS 38773
Phone: 662-754-3301    Fax: 662-754-3304

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.