Active NPI
Rebecca Jean Evans, CNM
- Women's Health Nurse Practitioner
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 71006415A
- Practice address
- 964 Mezzanine Dr
Lafayette, IN 47905-8631 - Phone
- (765) 446-8078
- NPI assigned
- Jun 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 71006415A | IN | Primary |
| Advanced Practice Midwife | 367A00000X | 28228962A | IL |
Addresses
Primary practice location
964 Mezzanine Dr
Lafayette, IN 47905-8631
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other practice location 2
1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 413-7686
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | revans@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28228962A | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| University Obstetricians-Gynecologists,Inc | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
8016 Reliable Pkwy
Chicago, IL 60686
7845 Solution Ctr
Chicago, IL 60677
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
1115 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-2500
550 University Blvd
#2440
Indianapolis, IN 46202
Phone (317) 274-1661
702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
5177 McCarty Ln
Lafayette, IN 47905
Phone (765) 838-7101
2600 Greenbush St
Lafayette, IN 47904
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1235177924
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1316384233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "964 MEZZANINE DR",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479058631",
"telephone_number": "765-446-8078"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "312-413-7686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "REBECCA",
"middle_name": "JEAN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-01",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IN",
"license": "71006415A",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "28228962A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "revans@direct.iuhealth.org",
"affiliation": "N",
"address_1": "964 Mezzanine Dr",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479058631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.