NPIMap

Individual provider Active NPI

Trevor James Evans

  • Certified Registered Nurse Anesthetist
  • La Grange, KY
National Provider Identifier
1245763085
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
132048 Issued in MT
Practice address
1025 New Moody LN
La Grange, KY 40031-9154
Phone
(502) 222-5388
NPI assigned
Apr 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 132048 MT Primary
Certified Registered Nurse Anesthetist 367500000X 1166968 KY
Student in an Organized Health Care Education/Training Program 390200000X
Registered Nurse 163W00000X 28237068A IN

Addresses

Primary practice location

1025 New Moody LN
La Grange, KY 40031-9154

Mailing address

10007 Shining Willow Dr Apt 102
Louisville, KY 40241-3147
Phone (801) 979-2451

Other practice location 1

1373 E State Road 62
Madison, IN 47250-7328
Phone (812) 801-0609

Other identifiers 2

IdentifierTypeStateIssuer
300019021MedicaidIN
7100666370MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170721000533 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769752906 Reassigns benefits to 4 organizations
I20200709001660 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769752906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Sda Consultants PLLCGroup PAC ID 3870825912, 76 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0152

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

200 Missouri Ave
BLDG 18
Jeffersonville, IN 47130-3014
Phone (812) 920-0055

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28237068AINMDRegistered Nurse
1166968KYMDCertified Registered Nurse Anesthetist
132048MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2025 Accepting new patients
Greater Louisville Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Ema Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2024 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Oct 1, 2021 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince May 19, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Norton - Kings Daughters Health Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

360 Missouri Ave
Ste 102
Jeffersonvlle, IN 47130
Phone (502) 364-0902

200 Missouri Ave
Bldg 18
Jeffersonvlle, IN 47130
Phone (502) 552-5221

630 Broadway St
Madison, IN 47250
Phone (812) 265-0801

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

101 Financial Pl
Ste B103
Elizabethtown, KY 42701
Phone (270) 307-8177

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

Organizations & group practices 11

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1245763085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 SHINING WILLOW DR APT 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413147",
            "telephone_number": "801-979-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 NEW MOODY LN",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319154",
            "telephone_number": "502-222-5388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 E State Road 62",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0609",
            "fax_number": "812-801-0276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TREVOR",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-08",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "132048",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1166968",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28237068A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300019021",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100666370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.