Individual provider Active NPI

John C Evans, CRNA

  • Certified Registered Nurse Anesthetist
  • Broken Bow, NE
National Provider Identifier
1144320144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
100673 Issued in NE
Practice address
145 Memorial Dr.
Broken Bow, NE 68822
Phone
(308) 870-2111
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 100673 NE Primary

Addresses

Primary practice location

145 Memorial Dr.
Broken Bow, NE 68822

Mailing address

528 Westridge Dr.
Broken Bow, NE 68822
Phone (308) 870-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040105000863 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133028558 Reassigns benefits to 2 organizations
I20040611000970 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133028558 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Jennie M Melham Memorial Medical Center IncGroup PAC ID 5799766440, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

145 Memorial Dr
Broken Bow, NE 68822-1378
Phone (308) 872-4100

715 N Saint Joseph Ave
Mary Lanning Healthcare
Hastings, NE 68901-4451
Phone (402) 463-4521

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minneola District Hospital NBR 2 Current Accepting new patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas CurrentSince Sep 20, 2017 Accepting new patients
Evans Anesthesia, PC CurrentSince Nov 19, 2025 Accepting new patients
Mitchell County Hospital Health Systems Nurse Anesthetist, Certified Registered CurrentSince Nov 30, 2021 Accepting new patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas CurrentSince Sep 20, 2017 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Sep 1, 2022 Accepting new patients
Jennie M Melham Memorial Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2004 Accepting new patients
Jennie M Melham Memorial Medical Center Inc CurrentSince Jan 1, 2004 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Sep 1, 2022 Accepting new patients
Nebraska Pain Institute, LLC CurrentSince Jul 7, 2025 Accepting new patients
Beatrice Community Hospital & Health Center Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2013 Accepting new patients
Emporia Anesthesia Associates PA Nurse Anesthetist, Certified Registered PastSince Feb 21, 2021 Accepting new patients
Anesthesia Group of Grand Island PC Past Accepting new patients
Citizens Medical Center, Inc Past Accepting new patients
Mid West Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Npi Surgery Center LLC PastSince Jul 7, 2025 Accepting new patients
Gothenburg Memorial Hospital Past Accepting new patients

Locations

400 W 8th St
Beloit, KS 67420
Phone (785) 738-2266

250 W 9th St
Hoisington, KS 67544
Phone (620) 653-2114

212 Main St
Minneola, KS 67865
Phone (620) 885-4202

4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651

7350 Willowbrook Ln
Lincoln, NE 68516
Phone (402) 488-7246

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144320144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 WESTRIDGE DR.",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "68822",
            "telephone_number": "308-870-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MEMORIAL DR.",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "68822",
            "telephone_number": "308-870-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.