Active NPI
Carrie Kaye Evans, APRN-CNP
- Family Nurse Practitioner
- Ardmore, OK
National Provider Identifier
1124795349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 205577
- Practice address
- 908 N Rockford Rd Ste a
Ardmore, OK 73401-2541 - Phone
- (580) 223-0447
- Fax
- (580) 223-2989
- NPI assigned
- Aug 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 205577 | OK | Primary |
Addresses
Primary practice location
908 N Rockford Rd Ste a
Ardmore, OK 73401-2541
Mailing address
908 N Rockford Rd Ste a
Ardmore, OK 73401-2541
Phone (580) 223-0447
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205577 | Other | OK | BON APRN-CNP LICENSE |
| F08210942 | Other | AAPNCB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1803 N Rockford Rd
Ardmore, OK 73401-2522
Phone (580) 223-0447
Hospital & facility affiliations
- Mercy Hospital Ardmore, Inc
- Duncan Regional Hospital, Inc
- Mercy Hospital Ada
- Integris Southwest Medical Center
- Chickasaw Nation Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baha Al Deen Abuesheh MD PC | Current | Accepting new patients | |
| Mercy Hospital Ardmore, Inc. | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
908 N Rockford Rd
Ste A
Ardmore, OK 73401
Phone (580) 223-0447
1803 N Rockford Rd
Ardmore, OK 73401
Phone (580) 223-0447
11101 Hefner Pointe Dr
Ste 105
Oklahoma City, OK 73120
Phone (405) 604-4936
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 and National Provider Directory roles.
-
- Neurology Physician
- Ardmore, OK
- NPI 1184631756
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
-
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
-
- Mammography Clinic/Center
- Oklahoma City, OK
- NPI 1336155779
Hospital
-
- Rehabilitation Hospital Unit
- Oklahoma City, OK
- NPI 1336252717
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
-
- General Acute Care Hospital
- Ada, OK
- NPI 1952643306
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1124795349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 N ROCKFORD RD STE A",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012541",
"telephone_number": "580-223-0447",
"fax_number": "580-223-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N ROCKFORD RD STE A",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012541",
"telephone_number": "580-223-0447",
"fax_number": "580-223-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "CARRIE",
"middle_name": "KAYE",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "205577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BON APRN-CNP LICENSE",
"identifier": "205577",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAPNCB",
"identifier": "F08210942",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.