Active NPI
Jessica L Evans, NP
- Family Nurse Practitioner
- Fredonia, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-75168-072
- Practice address
- 1525 Madison St Ste 2
Fredonia, KS 66736-1704 - Phone
- (620) 378-2068
- Fax
- (620) 378-2312
- NPI assigned
- Aug 18, 2010
- Last updated
- Aug 18, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-75168-072 | KS | Primary |
Addresses
Primary practice location
1525 Madison St Ste 2
Fredonia, KS 66736-1704
Mailing address
1525 Madison St Ste 2
Fredonia, KS 66736-1704
Phone (620) 378-2068
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
928 N 3Rd St
Fredonia, KS 66736-2166
Phone (620) 288-1030
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75168-072 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare Associates, LLC | Family | Current | Accepting new patients |
| Fredonia Regional Hospital | Current | Accepting new patients | |
| Fredonia Regional Hospital | Current | Accepting new patients |
Locations
1525 Madison St
Fredonia, KS 66736
Phone (620) 378-3341
1525 Madison St
Ste 2
Fredonia, KS 66736
Phone (620) 378-2068
1527 Madison St
Fredonia, KS 66736
Phone (316) 378-2121
928 N 3rd St
Fredonia, KS 66736
Phone (620) 288-1030
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0153994b-73fd-40ca-acc3-d43bb5781a7b/
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.
-
- Family Nurse Practitioner
- Fredonia, KS
- NPI 1194451526
-
- Critical Access Hospital
- Fredonia, KS
- NPI 1285634006
-
dba Drs. Morris and Hill Medical Clinic
- Rural Health Clinic/Center
- Fredonia, KS
- NPI 1639957673
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fredonia, KS
- NPI 1285634006
-
dba Labette Health
- General Acute Care Hospital
- Parsons, KS
- NPI 1578560421
-
dba NMRMC Women's Health Center
- Medical Specialty Clinic/Center
- Chanute, KS
- NPI 1023251469
Hospital
-
- Critical Access Hospital
- Chanute, KS
- NPI 1073566949
-
dba NMRMC Orthopedic Clinic
- Orthopaedic Surgery Physician
- Chanute, KS
- NPI 1619261211
Hospital
-
- Critical Access Hospital
- Neodesha, KS
- NPI 1669441176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1487969192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 MADISON ST STE 2",
"city": "FREDONIA",
"state": "KS",
"postal_code": "667361704",
"telephone_number": "620-378-2068",
"fax_number": "620-378-2312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 MADISON ST STE 2",
"city": "FREDONIA",
"state": "KS",
"postal_code": "667361704",
"telephone_number": "620-378-2068",
"fax_number": "620-378-2312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JESSICA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-75168-072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredonia, KS
- County of Wilson (Wilson County Health Department)
- CPF Senior Living - Fredonia LLC (Vintage Park at Fredonia)
- DRS. Morris & Hill Medical Clinic, LLC
- Jacob Dugan, PHARM D.
- Holly Dyrud, LMSW
- Fredonia Pharmacy Inc (Fredonia Pharmacy LTC)
- Fredonia Pharmacy Inc (Fredonia Pharmacy)
- Fredonia Regional Hospital
- Fredonia Regional Hospital
- Fredonia Regional Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.