Individual provider Active NPI

Karen Marie Rodeffer-Evans, MD

  • Obstetrics & Gynecology Physician
  • Fallon, NV
National Provider Identifier
1063518595
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
16064 Issued in NV
Practice address
801 E Williams Ave Ste 3309
Fallon, NV 89406-3052
Phone
(775) 867-7760
Fax
(775) 423-2707
NPI assigned
Sep 15, 2006
Last updated
May 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21448 SC
Obstetrics & Gynecology Physician 207V00000X 7709A WY
Obstetrics & Gynecology Physician 207V00000X 16064 NV Primary

Addresses

Primary practice location

801 E Williams Ave Ste 3309
Fallon, NV 89406-3052

Mailing address

801 E Williams Ave Ste 3309
Fallon, NV 89406-3052
Phone (775) 867-7760

Other identifiers 4

IdentifierTypeStateIssuer
1063518595MedicaidWY
1063518595MedicaidNV
GP3378MedicaidSC
315321OtherWYBCBS

Other names 1

  • Dr. Karen Marie Evans Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005001282 NV Practitioner - Obstetrics/Gynecology 3678476546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
East Tennessee State University Quillen College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 E Williams Ave
Fallon, NV 89406-3052
Phone (775) 423-3151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
68.13
Promoting interoperability
99
Improvement activities
40
Cost
69.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16064NVMDObstetrics & Gynecology Physician
7709AWYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Oct 1, 2015 Accepting new patients
Banner Churchill Community Hospital CurrentSince May 7, 2019 Accepting new patients
Banner Health Physicians West LLC CurrentSince Oct 1, 2015 Accepting new patients
Banner Churchill Community Hospital Past Accepting new patients
Eric Hansen MD PC PastSince Aug 1, 2007 Accepting new patients
Coastal Carolina Primary Care, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

801 E Williams Ave
Ste 3309
Fallon, NV 89406
Phone (775) 867-7706

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1063518595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WILLIAMS AVE STE 3309",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063052",
            "telephone_number": "775-867-7760",
            "fax_number": "775-423-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WILLIAMS AVE STE 3309",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063052",
            "telephone_number": "775-867-7760",
            "fax_number": "775-423-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEFFER-EVANS",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "21448",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "7709A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "16064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063518595",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063518595",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3378",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "315321",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "EVANS",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fallon, NV

Sources for this page

Verify at the official NPI Registry.