Individual provider Active NPI

Jau Evans, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1497269880
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9310152 Issued in FL
Practice address
4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9541
Phone
(904) 760-4904
NPI assigned
Nov 22, 2017
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9310152 FL Primary

Addresses

Primary practice location

4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9541

Mailing address

Dept. #394
P.O. Box 1000
Memphis, TN 38148-0001
Phone (941) 300-4440

Other identifiers 1

IdentifierTypeStateIssuer
023050300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180103002745 FL Practitioner - Nurse Practitioner 2264790831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

4615 Philips Hwy
Suite 3
Jacksonville, FL 32207-9506
Phone (904) 508-0710

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.03
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9310152FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Can Community Health, Inc. Family CurrentSince Jan 17, 2023 Accepting new patients
Can Community Health Inc. CurrentSince Jan 17, 2023 Accepting new patients
Omega Health and Nutrition LLC PastSince Sep 9, 2020 Accepting new patients
Can Community Health, Inc. Past Accepting new patients

Locations

4615 Philips Hwy
Ste 3
Jacksonville, FL 32207
Phone (904) 508-0710

201 N Dixie Hwy
Lake Worth Beach, FL 33460
Phone (561) 533-9699

427 Washington Ave
Miami Beach, FL 33139
Phone (305) 514-0813

4758 Rowan Rd
New Port Richey, FL 34653
Phone (727) 312-2040

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

4440 Fruitville Rd
Sarasota, FL 34232
Phone (941) 366-0134

Interoperability endpoints

  • Direct secure messaging: jau.evans@can.eclinicaldirectplus.com

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": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1497269880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. #394",
            "address_2": "P.O. BOX 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 PHILIPS HWY STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079541",
            "telephone_number": "904-760-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JAU",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9310152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023050300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.