Jennifer Lynn Evangelist, APRN-BC

Primary specialty

Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X

License

APN0000011558 Issued in TN

Practice address

1437 W College St
Greenbrier, TN 37073-5564

Phone

(615) 293-1500

NPI assigned

Aug 15, 2007

Last updated

Feb 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

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 2

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Healthcare Group LLCGroup PAC ID 8224412234, 15 clinicians

Mobile Wound Care Services - Southeast PCGroup PAC ID 1355841412, 6 clinicians

Mobile Wound Care Solutions LLCGroup PAC ID 0547783730, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

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.

• Mobile Wound Care Services - Southeast PC

  • Specialist
  • Mount Juliet, TN
  • NPI 1134914518
  Medicare reassignment Care Compare group NPD
• Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1407587363

  KY

  Medicare reassignment Care Compare group NPD
• Mobile Wound Care Solutions LLC

  • Specialist
  • Cincinnati, OH
  • NPI 1548070014

  KY

  Medicare reassignment Care Compare group NPD
• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1144412958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 W COLLEGE ST",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370735564",
            "telephone_number": "615-293-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 W COLLEGE ST",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370735564",
            "telephone_number": "615-293-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELIST",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "55974",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "TN",
            "license": "APN0000011558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JENNIFER.EVANGELIST@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "100 Northcrest Dr",
            "city": "Springfield",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371723927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Basham, DPT
• Deanna Sue Coker
• Christine A Demers, CFNP
• Serne Elderwood
• David Chad Ellis, D.D.S.
• Family Healthcare Associates of Greenbrier
• Fast Pace Medical Clinic PLLC
• Five and Two Therapy and Wellness, PLLC
• Five Star ABA, Inc.
• Frances Freeman

• Medical-Surgical Clinical Nurse Specialist in Greenbrier, TN
• Providers in Greenbrier, TN by specialty
• Medical-Surgical Clinical Nurse Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.