NPIMap

Individual provider Active NPI

Katie R Evans, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Virginia, MN
National Provider Identifier
1114351376
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
908 Issued in MN
Practice address
616 9TH St N
Virginia, MN 55792-2320
Phone
(218) 749-3818
Fax
(218) 749-3874
NPI assigned
Aug 23, 2013
Last updated
Sep 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 908 MN Primary

Addresses

Primary practice location

616 9TH St N
Virginia, MN 55792-2320

Mailing address

616 9TH St N
Virginia, MN 55792-2320
Phone (218) 749-3818

Other identifiers 1

IdentifierTypeStateIssuer
1114351376MedicaidMN

Other names 1

  • Dr. Katie R Berends Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140606000310 MN Practitioner - Podiatry 9032348933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

616 9TH St N
Virginia, MN 55792-2320
Phone (218) 749-3818

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of nail tissue452
Removal or shaving of skin growth65
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
908MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ely-Bloomenson Community Hospital CurrentSince Dec 31, 2025 Accepting new patients
Ely-Bloomenson Community Hospital CurrentSince Dec 31, 2025 Accepting new patients

Locations

328 W Conan St
Ely, MN 55731
Phone (218) 365-3271

Organizations & group practices 3

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1114351376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922320",
            "telephone_number": "218-749-3818",
            "fax_number": "218-749-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922320",
            "telephone_number": "218-749-3818",
            "fax_number": "218-749-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KATIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114351376",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BERENDS",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.