John C Evans, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Broken Bow, NE
NPI 1144320144 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144320144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 100673 (NE)
- Practice address
- 145 Memorial Dr.
Broken Bow, NE 68822 - Phone
- (308) 870-2111
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 22
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Jennie M Melham Memorial Medical Center Inc
The Mary Lanning Memorial Hospital Association
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
- Jennie M Melham Memorial Medical Center
- Mary Lanning Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Clara Barton Hospital Association, Inc. Hoisington Kansas | Current |
Accepting new patients | |
| The Mary Lanning Memorial Hospital Association | Current |
Accepting new patients | |
| Evans Anesthesia, PC | Current |
Accepting new patients | |
| Jennie M Melham Memorial Medical Center Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| The Mary Lanning Memorial Hospital Association | Current |
Accepting new patients | |
| Minneola District Hospital NBR 2 | Current | Accepting new patients | |
| Mitchell County Hospital Health Systems | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| The Clara Barton Hospital Association, Inc. Hoisington Kansas | Current |
Accepting new patients | |
| Nebraska Pain Institute, LLC | Current |
Accepting new patients | |
| Beatrice Community Hospital & Health Center Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Jennie M Melham Memorial Medical Center Inc | Current |
Accepting new patients | |
| Anesthesia Group of Grand Island PC | Past | Accepting new patients | |
| Npi Surgery Center LLC | Past |
Accepting new patients | |
| Gothenburg Memorial Hospital | Past | Accepting new patients | |
| Mid West Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Citizens Medical Center, Inc | Past | Accepting new patients | |
| Emporia Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 100673 | NE | Yes |
Addresses
Primary practice location
145 Memorial Dr.
Broken Bow, NE 68822
Mailing address
528 Westridge Dr.
Broken Bow, NE 68822
Phone (308) 870-2111
Other providers in Broken Bow, NE
- Janet E Dobesh
- Leah Jean Duffer
- Chesany Eberle
- Jamie Janelle Eberle
- Sheila Erickson
- Lona Marie Ferguson
- Andrew Michael Flint
- Forrester Counseling Inc.
- Julie Ellen Forrester
- Angela Sue Foss
All providers in Broken Bow, NE · Certified Registered Nurse Anesthetist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.