Individual provider Active NPI

Chasity R Evans, CPNP-PC

  • Pediatric Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1013286699
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71003791A Issued in IN
Practice address
2525 W University Ave
Suite 404
Muncie, IN 47303-3421
Phone
(765) 231-9494
Fax
(765) 587-4456
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 71003791A IN Primary

Addresses

Primary practice location

2525 W University Ave
Suite 404
Muncie, IN 47303-3421

Mailing address

2525 W University Ave
Suite 404
Muncie, IN 47303-3421
Phone (765) 231-9494

Other identifiers 1

IdentifierTypeStateIssuer
201043570MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20120110000781 IN Practitioner - Nurse Practitioner 9931375110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Services, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Open Door Health Services, Inc. Current Accepting new patients
Open Door Health Services, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients

Locations

2101 Jackson St
Ste 206
Anderson, IN 46016
Phone (765) 646-8523

333 S Madison St
Muncie, IN 47305
Phone (765) 287-3087

1651 E 29th St
Muncie, IN 47302
Phone (765) 747-1164

2600 W White River Blvd
Muncie, IN 47303
Phone (765) 254-5602

Interoperability endpoints

  • Direct secure messaging: chasity.evans.1@10844.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1013286699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE",
            "address_2": "SUITE 404",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033421",
            "telephone_number": "765-231-9494",
            "fax_number": "765-587-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE",
            "address_2": "SUITE 404",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033421",
            "telephone_number": "765-231-9494",
            "fax_number": "765-587-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CHASITY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71003791A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201043570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.