Active NPI
Terry L Evers, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP104
- Practice address
- 11334 86TH Ave N
Maple Grove, MN 55369-4528 - Phone
- (763) 233-8127
- NPI assigned
- Apr 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R171736-3 | MN | |
| Family Nurse Practitioner | 363LF0000X | R-171736-3 | MN | |
| Family Nurse Practitioner | 363LF0000X | R171736-3 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11074-33 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP104 | MN | Primary |
Addresses
Primary practice location
11334 86TH Ave N
Maple Grove, MN 55369-4528
Mailing address
N4857 Gusk Rd
Taylor, WI 54659-7001
Phone (763) 233-8127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-171736-3 | MN | MD | Family Nurse Practitioner |
| R171736-3 | MN | MD | Family Nurse Practitioner |
| CNP104 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
| 11074-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
| 104 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Woodwinds Hospital | Current | Accepting new patients | |
| Healtheast St. John'S Hospital | Current | Accepting new patients | |
| Healtheast Care System | Current | Accepting new patients | |
| Hiawatha Valley Mental Health Center | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| Nystrom & Associates, LTD | Current | Accepting new patients | |
| Fairview Bethesda Hospital | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| Hiawatha Valley Mental Health Center Inc. | Current | Accepting new patients |
Locations
13045 Falcon Dr
#100
Brainerd, MN 56425
Phone (218) 203-6282
221 S Kingston St
Caledonia, MN 55921
Phone (507) 725-2022
559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
611 Broadway Ave
Ste 100
Wabasha, MN 55981
Phone (651) 565-2234
420 E Sarnia St
Ste 2100
Winona, MN 55987
Phone (507) 454-4341
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302
Organizations & group practices 9
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.
-
- Long Term Care Hospital
- Saint Paul, MN
- NPI 1194787465
-
- Home Health Agency
- Saint Paul, MN
- NPI 1548595218
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Caledonia, MN
- NPI 1912223033
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Winona, MN
- NPI 1184606337
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1194042663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4857 GUSK RD",
"city": "TAYLOR",
"state": "WI",
"postal_code": "546597001",
"telephone_number": "763-233-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11334 86TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694528",
"telephone_number": "763-233-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERS",
"first_name": "TERRY",
"middle_name": "L",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-23",
"last_updated": "2024-05-15",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MN",
"license": "R171736-3",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R-171736-3",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R171736-3",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "11074-33",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "CNP104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.