Sandra Renae Evans, FNP-BC, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1-069598 Issued in AL

Practice address

2228 Lawrence St W
Russellville, AL 35653-5116

Phone

(256) 668-5216

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
• Keller Home Care Home health agency, Red Bay, AL, CCN 017125
• Russellville Hospital Hospital, Russellville, AL, CCN 010158

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cursevans@yourcarecommunity.org
• FHIR API: https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386
• Direct secure messaging: sandra.evans@russ.eclinicaldirectplus.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.

• Russellville Hospital Inc

  dba Russellville Hospital Medical Clinic

  • Family Medicine Physician
  • Russellville, AL
  • NPI 1780232314
  Medicare reassignment Care Compare group NPD
• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Decatur, AL
  • NPI 1184857195
  Medicare reassignment NPD
• Shoals Primary Care, LLC

  • Family Medicine Physician
  • Sheffield, AL
  • NPI 1326373861
  Medicare reassignment NPD
• Stopwatch Urgent Care Centers LLC

  dba Moore's Mill Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1841506458
  Medicare reassignment NPD
• Russellville Hospital Inc

  dba Russellville Hospital Family Care First Clinic

  • Rural Health Clinic/Center
  • Russellville, AL
  • NPI 1508491093
  NPD
• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Flowood, MS
  • NPI 1689440133
  NPD
• Russellville Hospital Inc

  dba Russellville Hospital Medical Clinic

  • Rural Health Clinic/Center
  • Russellville, AL
  • NPI 1033671631
  NPD (past)

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

• LHCG Xxix LLC

  dba Keller Home Care

  • Home Health Agency
  • Red Bay, AL
  • NPI 1366740656
  Care Compare affiliation
• Mid-South Home Health, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Moulton, AL
  • NPI 1376572081
  Care Compare affiliation
• Russellville Hospital Inc.

  dba Russellville Hospital

  • Rural Acute Care Hospital
  • Russellville, AL
  • NPI 1316015241
  Care Compare affiliation

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1114680097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 LAWRENCE ST W",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356535116",
            "telephone_number": "256-668-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 LAWRENCE ST W",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356535116",
            "telephone_number": "256-668-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SANDRA",
        "middle_name": "RENAE",
        "credential": "FNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-069598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Renal Healthcare Inc (Russellville Dialysis)
• Lloyd C Dyas, MD
• Edward H Fisher III M.D., P.C.
• Yolanda Renee Ellison, PHARMD
• Encore Rehabilitation Inc (Encore Rehab of Russellville)
• Everstead Health and Rehabilitation Center LLC
• Eyecare for Life, PC
• Eyecare Professionals, P.C.
• Eyedocs on Wheels PC
• Family Health Care Clinic, Inc.

• Primary Care Nurse Practitioner in Russellville, AL
• Providers in Russellville, AL by specialty
• Primary Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.