Mackenzie Nicole Evans, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2016002242 Issued in MO

Practice address

904 S 10TH St Ste a
Saint Joseph, MO 64503-2400

Phone

(816) 233-5188

Fax

(816) 233-5296

NPI assigned

Aug 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mackenzie.evans.1@25988.direct.athenahealth.com

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.

• Social Welfare Board of the County of Buchanan

  • State or Local Public Health Clinic/Center
  • Saint Joseph, MO
  • NPI 1215676457
  NPD (past)

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1356170716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032400",
            "telephone_number": "816-233-5188",
            "fax_number": "816-233-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032400",
            "telephone_number": "816-233-5188",
            "fax_number": "816-233-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MACKENZIE",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016002242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Linus Euler, DDS
• Evans Pediatric Clinic PC
• Aaron Evans
• Ashley M Evans, LPC
• Douglas Eugene Evans, D.O.
• Rachel J Evans, LCSW
• David L Ewing, MD
• Eyemart Express LLC
• Anthony Ezemba
• Busola Fadojutimi

• Family Nurse Practitioner in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.