Kathleen Nicole Evans, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D139952 Issued in IA

Practice address

1700 W Townline St
Creston, IA 50801-1054

Phone

(641) 782-7091

Fax

(641) 782-3825

NPI assigned

Oct 25, 2006

Last updated

Feb 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

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 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Greater Regional Medical CenterGroup PAC ID 9234041013, 48 clinicians

Madison County Memorial HospitalGroup PAC ID 6002727179, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greater Regional Medical Center Hospital, Creston, IA, CCN 161365
• Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064
• Madison County Health Care System Hospital, Winterset, IA, CCN 161326

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/823d67d6-97c5-40a2-b084-56d06cb82099/
• FHIR API: https://fhir-usa.unify.chbase.com/org/madico-8e3b1615
• Direct secure messaging: kevans255729@direct.unitypoint.org

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.

• Greater Regional Medical Center

  • Critical Access Hospital
  • Creston, IA
  • NPI 1902805062
  Medicare reassignment Care Compare group NPD
• Madison County Memorial Hospital

  dba Health Trust Physicians Clinic

  • Primary Care Clinic/Center
  • Winterset, IA
  • NPI 1093929390
  Medicare reassignment Care Compare group NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Anesthesia Professional Services

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1780278242
  Medicare reassignment Care Compare group NPD
• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1093760944
  Medicare reassignment NPD
• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1861597122
  Medicare reassignment NPD
• Kossuth Regional Health Center

  • Critical Access Hospital
  • Algona, IA
  • NPI 1841361276
  Medicare reassignment NPD
• Mercy Medical Center New Hampton

  dba MercyOne New Hampton Emergency

  • Emergency Medicine Physician
  • New Hampton, IA
  • NPI 1679641419

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mercy Medical Center New Hampton

  dba MercyOne New Hampton Medical Center (Hosp)

  • Critical Access Hospital
  • New Hampton, IA
  • NPI 1770651515
  Medicare reassignment NPD
• Montgomery County Memorial Hospital

  • Internal Medicine Physician
  • Red Oak, IA
  • NPI 1265405310

  Family

  Medicare reassignment NPD
• Montgomery County Memorial Hospital

  • Critical Access Hospital
  • Red Oak, IA
  • NPI 1376539338
  Medicare reassignment NPD
• Shelby County Chris a Myrtue Memorial Hospital

  dba Myrtue Medical Center

  • Critical Access Hospital
  • Harlan, IA
  • NPI 1598871469
  Medicare reassignment NPD
• Shelby County Chris a. Myrtue Memorial Hospital

  dba Myrtue Medical Center

  • Family Medicine Physician
  • Harlan, IA
  • NPI 1922184175

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greater Regional Medical Center

  • Critical Access Hospital
  • Creston, IA
  • NPI 1902805062
  Care Compare affiliation
• Madison County Memorial Hospital

  • Critical Access Hospital
  • Winterset, IA
  • NPI 1831104611
  Care Compare affiliation
• Mercy Health Services-Iowa Corp

  dba Mercy Medical Center-North Iowa

  • Rural Acute Care Hospital
  • Mason City, IA
  • NPI 1467537886
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1497839252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011054",
            "telephone_number": "641-782-7091",
            "fax_number": "641-782-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011054",
            "telephone_number": "641-782-7091",
            "fax_number": "641-782-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KATHLEEN",
        "middle_name": "NICOLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A139952",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D139952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497839252",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Ann Edwards
• Travis Eggman, D.P.T.
• Joel Emerson, CRNA
• Hailey Nickole Endres, ARNP
• Pamela K Estes, A.R.N.P.
• Eye Care Associates of Co LLC (Creston Vision Clinic)
• Eye Care Associates of Co, LLC (Family Vision Center - Creston)
• Amber Fruetel Floyd, LMSW
• David Gantz, DO
• Keith Wayne Gardner, LMSW

• Certified Registered Nurse Anesthetist in Creston, IA
• Providers in Creston, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.

Verify at the official NPI Registry.