Active NPI
Jennifer Evan, MD
- Neurology Physician
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01084951A
- Practice address
- 1501 Meadowglen Dr
Valparaiso, IN 46383-0736 - Phone
- (219) 309-1160
- Fax
- (219) 209-5502
- NPI assigned
- Apr 6, 2016
- Last updated
- May 9, 2025
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | DR.0063772 | CO | |
| Neurology Physician | 2084N0400X | 01084951A | IN | Primary |
Addresses
Primary practice location
1501 Meadowglen Dr
Valparaiso, IN 46383-0736
Mailing address
1501 Meadowglen Dr
Valparaiso, IN 46383-0736
Phone (219) 309-1160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0063772 | CO | MD | Neurology Physician |
| 01084951A | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Centers for Neurological Diseases, PC | Neurology | Current | Accepting new patients |
Locations
777 Bannock St
Denver, CO 80204
10260 191st St
Ste 100
Mokena, IL 60448
Phone (708) 425-1907
521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777
Organizations & group practices 3
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 The Neurological Institute and Specialty Centers
- Neurology Physician
- Merrillville, IN
- NPI 1740882737
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1487018479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 MEADOWGLEN DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463830736",
"telephone_number": "219-309-1160",
"fax_number": "219-209-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 MEADOWGLEN DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463830736",
"telephone_number": "219-309-1160",
"fax_number": "219-209-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVAN",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-06",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "DR.0063772",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01084951A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.