Nicholas Evans
Individual provider Active NPI Emergency Medicine Physician · Kansas City, MO
NPI 1083009138 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1083009138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2017017638 (MO)
- Practice address
- 2301 Holmes St
Kansas City, MO 64108-2640 - Phone
- (816) 404-4175
- NPI assigned
- Apr 4, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Arkansas College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Liberty Hospital Emergency Medicine Physicians LLC
Practice addresses (Care Compare)
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 792-7000
Hospital & facility affiliations
- Liberty Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.84 of 100
- Quality
- 59.04
- Promoting interoperability
- 97
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180725002667 | MO | Practitioner - Emergency Medicine | 3577864370 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Hospital Emergency Medicine Physicians, LLC | Emergency Medicine | Current |
Accepting new patients |
| New Liberty Hospital Coporation | Emergency Medicine | Past |
Accepting new patients |
Locations
2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200
Interoperability endpoints
- nicholas.evansmd.p12@direct.nlhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2017017638 | MO | Yes |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108-2640
Mailing address
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 792-7000
Other practice location 1
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 792-7000
Other providers in Kansas City, MO
- Carol Evans
- Corinne Taylor Evans
- Kristen Evans
- Kulea Monique Evans
- Maria Evans
- Randal Walker Evans
- Rhonda F. Evans
- Richonda Denise Evans
- Rochelle Evans
- Taylor Evans
All providers in Kansas City, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.