Individual provider Active NPI

Nicholas Evangelidis, M.D.

  • Psychiatry Physician
  • Lawrence, KS
National Provider Identifier
1386965507
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-37634 Issued in KS
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710000050 KS Practitioner - Psychiatry 0749592301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Medical Clinic IncGroup PAC ID 2769477645, 22 clinicians

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

LicenseStateTypeSpecialty
LL32926SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Medical Clinic, Inc CurrentSince Jun 1, 2023 Accepting new patients
Heartland Medical Clinic, Inc CurrentSince Jun 1, 2023 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.

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

Verify at the official NPI Registry.