Individual provider Active NPI

Janaya Jean Marie Evenson, RN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spicer, MN
National Provider Identifier
1083371884
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8802 Issued in MN
Practice address
194 Progress Way
Spicer, MN 56288-5000
Phone
(320) 640-2891
NPI assigned
Nov 29, 2021
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8802 MN Primary

Addresses

Primary practice location

194 Progress Way
Spicer, MN 56288-5000

Mailing address

194 Progress Way
Spicer, MN 56288-5000
Phone (320) 640-2891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20220314000950 MN Practitioner - Nurse Practitioner 4284029075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ametrine Mental Health PLLCGroup PAC ID 4385009943, 5 clinicians

Practice addresses (Care Compare)

194 Progress Way
Spicer, MN 56288-5000
Phone (320) 905-5971

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Wellness Clinic P.a. CurrentSince Mar 1, 2023 Accepting new patients
Ametrine Mental Health PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients

Locations

194 Progress Way
Spicer, MN 56288
Phone (320) 640-2891

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1083371884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 PROGRESS WAY",
            "city": "SPICER",
            "state": "MN",
            "postal_code": "562885000",
            "telephone_number": "320-640-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 PROGRESS WAY",
            "city": "SPICER",
            "state": "MN",
            "postal_code": "562885000",
            "telephone_number": "320-640-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENSON",
        "first_name": "JANAYA",
        "middle_name": "JEAN MARIE",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spicer, MN

Sources for this page

Verify at the official NPI Registry.