Individual provider Active NPI

Evan R Wadsworth, PA

  • Physician Assistant
  • Washington, IN
National Provider Identifier
1023518347
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002428A Issued in IN
Practice address
510 Ridge Rd
Washington, IN 47501-8908
Phone
(812) 698-7760
NPI assigned
Feb 13, 2018
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002428A IN Primary

Addresses

Primary practice location

510 Ridge Rd
Washington, IN 47501-8908

Mailing address

510 Ridge Rd
Washington, IN 47501-8908
Phone (812) 698-7760

Other identifiers 1

IdentifierTypeStateIssuer
300012898MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ewadsworth391406@Direct.FranciscanAlliance.org Direct
Direct Messaging Address ewadsworth391406@Direct.FranciscanAlliance.org Direct
Direct Messaging Address ewadsworth391406@Direct.FranciscanAlliance.org Direct

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
I20180328001987 IN Practitioner - Physician Assistant 8527320712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10767 Illinois St
Carmel, IN 46032-8972
Phone (317) 817-1200

1199 Hadley Rd
Mooresville, IN 46158-1788
Phone (317) 817-1200

1401 W County Line Rd
Methodist Sports Medicine
Greenwood, IN 46142-5195
Phone (317) 817-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002428AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas a Brady Sports Medicine Center, PC Physician Assistant CurrentSince Nov 4, 2024 Accepting new patients
Franciscan Physician Network CurrentSince Mar 19, 2018 Accepting new patients
Major Hospital Past Accepting new patients
Franciscan Physician Network Past Accepting new patients

Locations

10767 Illinois St
Ste 3000
Carmel, IN 46032
Phone (317) 708-6858

4035 Mimosa Dr
Columbus, IN 47201
Phone (317) 706-2361

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1401 W County Line Rd
Greenwood, IN 46142
Phone (317) 217-1200

1703 W Stones Crossing Rd
Ste 210
Greenwood, IN 46143
Phone (317) 528-2270

1199 Hadley Rd
Mooresville, IN 46158
Phone (317) 831-2273

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: ewadsworth391406@direct.franciscanalliance.org

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1023518347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 RIDGE RD",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475018908",
            "telephone_number": "812-698-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 RIDGE RD",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475018908",
            "telephone_number": "812-698-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "EVAN",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002428A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300012898",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewadsworth391406@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4035 Mimosa Dr",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472017200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewadsworth391406@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1703 W Stones Crossing Rd Ste 210",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461438558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewadsworth391406@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1199 Hadley Rd",
            "city": "Mooresville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461581788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.