Jennifer Evans, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71003874A Issued in IN

Practice address

613 Franklin St Ste C
Michigan City, IN 46360-3411

Phone

(317) 449-9669

Fax

(888) 915-0644

NPI assigned

Dec 29, 2011

Last updated

Apr 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Laporte County Comprehensive Mental Health CouncilGroup PAC ID 3274703046, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.evans@healthlinc.directbygreenway.com

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.

• Laporte County Comprehensive Mental Health Council

  dba Swanson Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Michigan City, IN
  • NPI 1295746816
  Medicare reassignment Care Compare group NPD
• Edgewater Systems for Balanced Living, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gary, IN
  • NPI 1588705784
  Medicare reassignment NPD
• Healthlinc, Inc.

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1528262581
  Medicare reassignment NPD
• Lake Effect Healing PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Michigan City, IN
  • NPI 1912693466

  Registered Nurse

  NPD Authorized official
• Edgewater Systems for Balanced Living, Inc

  • Federally Qualified Health Center (FQHC)
  • Gary, IN
  • NPI 1093670648
  NPD
• Healthlinc, Inc

  dba HealthLinc - Newton

  • Federally Qualified Health Center (FQHC)
  • Morocco, IN
  • NPI 1568354116
  NPD
• Healthlinc, Inc.

  dba HealthLinc - South Bend Dental

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1679954804
  NPD (past)
• Laporte County Comprehensive Mental Health Council

  dba Swanson Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Michigan City, IN
  • NPI 1962375964
  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1063781532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 FRANKLIN ST STE C",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603411",
            "telephone_number": "317-449-9669",
            "fax_number": "888-915-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 FRANKLIN ST STE C",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603411",
            "telephone_number": "317-449-9669",
            "fax_number": "888-915-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7224 W 400 N",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463602903",
            "country_code": "US",
            "telephone_number": "219-210-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003874A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71003874A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28145112A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201067810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Renee England, PTA
• Reilly D Enos, D.C.
• William George Espar Jr., M.D.
• Kimberly Anne Esposito, OD
• Ginger Evans, PTA
• Kathleen Exner, ARPN
• Eyecare Indiana II, PC (C&B Optical One)
• Eyecare Indiana LL, PC (C&B Optical One)
• Jennifer Lee Fabrowicz, FNP-C
• Karen Fagan, APN

• Psychiatric/Mental Health Nurse Practitioner in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; 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.