Individual provider Active NPI

Deborah A Evans, APRN,BC, FNP

  • Adult Health Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1366497604
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
121037 Issued in MO
Practice address
2441 Myra Dr
Cape Girardeau, MO 63703-5803
Phone
(573) 803-0919
Fax
(573) 803-0879
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 121037 MO Primary

Addresses

Primary practice location

2441 Myra Dr
Cape Girardeau, MO 63703-5803

Mailing address

1940 Garrett Dr
Cape Girardeau, MO 63701-2741
Phone (573) 225-2442

Other identifiers 2

IdentifierTypeStateIssuer
P00283737OtherMORR MEDICARE
429387509MedicaidMO

Other names 1

  • Debbie A Evans Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000127 MO Practitioner - Nurse Practitioner 5294787107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Family Medical Clinic, LLCGroup PAC ID 4183885403, 10 clinicians

Practice addresses (Care Compare)

24 N Sprigg St
Cape Girardeau, MO 63701-5526
Phone (573) 332-7992

2441 Myra Dr
Cape Girardeau, MO 63703-5803
Phone (573) 803-0919

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
121037MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Family Medical Clinic, LLC CurrentSince Mar 1, 2026 Accepting new patients
Guardian Primary Care LLC CurrentSince Nov 30, 2025 Accepting new patients
Cape Family Medical Clinic, LLC CurrentSince Mar 1, 2026 Accepting new patients
Medstop One Diagnostics LLC CurrentSince Mar 17, 2013 Accepting new patients
Brandiekay LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

2131 William St
Cape Girardeau, MO 63703
Phone (573) 803-0919

3065 William St
Ste 211
Cpe Girardeau, MO 63703
Phone (573) 335-4100

2441 Myra Dr
Cpe Girardeau, MO 63703
Phone (573) 200-6390

24 N Sprigg St
Cpe Girardeau, MO 63701
Phone (314) 652-0100

Organizations & group practices 5

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1366497604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 GARRETT DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012741",
            "telephone_number": "573-225-2442",
            "fax_number": "573-339-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 MYRA DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035803",
            "telephone_number": "573-803-0919",
            "fax_number": "573-803-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APRN,BC, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "121037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00283737",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429387509",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "EVANS",
            "middle_name": "A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.