Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Pryse

Individual provider Family Nurse Practitioner · NPI 1053712299

Evan Pryse is a Nurse Practitioner in Charlottesville, Virginia. Qualified in 2013, 13 years ago. Practices with Martha Jefferson Medical Group LLC, a 191-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2014

Practice location Address checks out

590 Peter Jefferson Pkwy Ste 100
Charlottesville, VA 22911-4628
Phone: (434) 654-8930
Fax: (844) 307-3595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024171740 (VA)

Record details

NPI number1053712299
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2014
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021
Mailing addressPo Box 79777, Baltimore, MD 21279-0777

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Martha Jefferson Medical Group Llc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Charlottesville