Active NPI
Nicholas Evangelidis, M.D.
- Psychiatry Physician
- Lawrence, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 04-37634
- Practice address
- 1803 W 6TH St
Lawrence, KS 66044-1710 - Phone
- (785) 841-7297
- Fax
- (785) 576-1587
- NPI assigned
- Jun 22, 2010
- Last updated
- Jul 30, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | LL32926 | SC | |
| Psychiatry Physician | 2084P0800X | 04-37634 | KS | Primary |
Addresses
Primary practice location
1803 W 6TH St
Lawrence, KS 66044-1710
Mailing address
1312 W 6TH St
Lawrence, KS 66044-2219
Phone (785) 841-7297
Other practice location 1
534 Michigan St.
Lawrence, KS 66044
Phone (785) 841-7297
Other practice location 2
222 N 6th St
Manhattan, KS 66502-6057
Phone (785) 565-2962
Other practice location 3
1312 W 6th St
Lawrence, KS 66044-2219
Phone (785) 841-7297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1803 W 6TH St
Lawrence, KS 66044-1710
Phone (785) 841-7297
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL32926 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Medical Clinic, Inc | Current | Accepting new patients | |
| Heartland Medical Clinic, Inc | Current | Accepting new patients | |
| Ascension Via Christi Hospital Manhattan, Inc. | Current | Accepting new patients |
Locations
1312 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297
1803 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297
1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Heartland Community Health Center
- Federally Qualified Health Center (FQHC)
- Lawrence, KS
- NPI 1487107447
-
- Interventional Cardiology Physician
- Manhattan, KS
- NPI 1720271091
-
- Federally Qualified Health Center (FQHC)
- Lawrence, KS
- NPI 1356941306
-
dba Heartland Community Health Center
- Federally Qualified Health Center (FQHC)
- Lawrence, KS
- NPI 1689367252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1386965507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 W 6TH ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442219",
"telephone_number": "785-841-7297",
"fax_number": "785-856-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 W 6TH ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441710",
"telephone_number": "785-841-7297",
"fax_number": "785-576-1587"
}
],
"practiceLocations": [
{
"address_1": "534 Michigan St.",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "66044",
"country_code": "US",
"telephone_number": "785-841-7297",
"fax_number": "785-576-1587",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 N 6th St",
"address_purpose": "LOCATION",
"city": "Manhattan",
"state": "KS",
"postal_code": "665026057",
"country_code": "US",
"telephone_number": "785-565-2962",
"fax_number": "785-565-2999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1312 W 6th St",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660442219",
"country_code": "US",
"telephone_number": "785-841-7297",
"fax_number": "785-576-1587",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANGELIDIS",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-22",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "LL32926",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "04-37634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.
- 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.