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Deactivated NPI 1033179049 Deactivated / Inactive NPI Male Practitioner

Dr. Keith H Evans , MD

General Practice • Vernal, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Keith Evans has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 24, 2006
NPI Deactivation Date April 09, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Keith Evans, MD was a registered General Practice practicing in Vernal, UT. Throughout an active medical career spanning 20 years, Dr. Evans provided care at the practice location at 1140 W 500 S until profile deactivation on 2026-04-09.

Historical Medicare Part B clinical services included established patient outpatient office visit, outpatient office visit, psychiatric diagnostic evaluation with medical services. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1140 W 500 S

Vernal, UT 840782914

Telephone 4357896300
Fax 4357896325
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Vernal, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Vernal, UT (66 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
16 13 $40.40 $40.40

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License UT 1612791205

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tylee Pierce

Case Manager/Care Coordinator

NPI 1013591437
Brenda Bowman , LCSW

Social Worker - Clinical

NPI 1033292321

Licensed Clinical Social Worker

Deborah Mckee , LCSW

Social Worker - Clinical

NPI 1033324405

Licensed Clinical Social Worker

Brandie Mitchell

Licensed Practical Nurse

NPI 1033358650
Lilyan Baker

Counselor

NPI 1033382502
Frances Lewis

Counselor

NPI 1033416797

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 09, 2026

Record deactivated on April 09, 2026

NPI Profile Active August 17, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2011

Registered at 1140 W 500 S, VERNAL, UT 840782914 (Tel: 4357896300)

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Updated Business Mailing Address August 17, 2011

Registered at 1140 W 500 S STE 9, VERNAL, UT 840782912 (Tel: 4357896300)

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Provider Name / Credentials Updated August 17, 2011

Recorded as KEITH EVANS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2011

General Practice (License #1612791205 in UT)

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Initial NPI Registration & Enumeration March 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033179049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2006
Last Update: August 17, 2011
Deactivation Date: April 09, 2026

Mailing Address

1140 W 500 S Ste 9

Vernal, UT 840782912

Phone: 4357896300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.