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

Robert James Evans, APRN

Individual provider Nurse Practitioner · NPI 1043984586

Robert James Evans, APRN is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2021, 5 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New Hampshire.

Years since qualifying
5
Licensed in
MA, NH
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 789 Central Ave, Dover, NH 03820-2526 — (603) 609-6925

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN210429 (MA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 088716-23 (NH)

Record details

NPI number1043984586
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 8, 2021
Last updated in NPPESApril 29, 2024
Certification dateOctober 20, 2023
Mailing address789 Central Ave, Dover, NH 03820-2526

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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