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

Evelena Cousin-Peterson, MD

Individual provider Surgery Physician · NPI 1114360849

Evelena Cousin-Peterson, MD is a General Surgery in Tampa, Florida. Qualified in 2013, 13 years ago. Practices with Urgent Specialty Associates PLLC, a 57-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12901 Bruce B Downs Blvd Mdc 41
Tampa, FL 33612-4742
Phone: (813) 844-7412
Fax: (813) 974-8359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME138727 (FL)

Record details

NPI number1114360849
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Urgent Specialty Associates Pllc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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