Evans Komen, DNP,PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G119281 Issued in IA

Practice address

2750 Saint Francis Dr
Waterloo, IA 50702-5644

Phone

(319) 272-8922

Fax

(319) 272-8929

NPI assigned

Aug 29, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Iowa, RJ & L Carver College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Abbe Management CorpGroup PAC ID 0446140222, 15 clinicians

Cedar Circle Mental Health and Wellness PCGroup PAC ID 0749618981, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ekomen1021387@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abbe Management Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hiawatha, IA
  • NPI 1811998859
  Medicare reassignment Care Compare group NPD
• Cedar Circle Mental Health and Wellness PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Falls, IA
  • NPI 1811534910
  Medicare reassignment Care Compare group NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1003216839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 SAINT FRANCIS DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025644",
            "telephone_number": "319-272-8922",
            "fax_number": "319-272-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SAINT FRANCIS DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025644",
            "telephone_number": "319-272-8922",
            "fax_number": "319-272-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMEN",
        "first_name": "EVANS",
        "credential": "DNP,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G119281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Ann Koch
• Merri Koch, REGISTERED NURSE
• Nichole Irene Koch
• Emma Koester, ARNP
• Abby Irene Kolthoff, ARNP
• Michelle Nicole Kompare, MD
• Hugo Elias Koo, MD
• Gowthami Koorapati, MD
• Trevor Nolan Koritz, PT, DPT
• Gopi Kota, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.