Individual ProviderKimberly EvansNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4815 Liberty Ave Ste 340, Pittsburgh, PA 15224-2156(412) 681-4401PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Evans is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1598233363Provider TypeIndividualFull NameEvans, KimberlyGenderFemaleSole ProprietorNoEnumeration Date11/9/2018Last Updated9/22/2022Contact InformationPractice LocationPractice Address4815 Liberty Ave Ste 340, Pittsburgh, PA 15224-2156Phone(412) 681-4401Fax(412) 688-7555Mailing LocationMailing Address4815 Liberty Ave Ste 340, Pittsburgh, PA 15224-2156Phone(412) 681-4401Fax(412) 688-7555Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP019573PennsylvaniaProvider IdentifiersIDDescriptionIssuerID1035905110001DescriptionMedicaidIssuerUnlistedPennsylvaniaIDSP019573DescriptionOtherIssuerCRNP LICENSEPennsylvania