Evelyn Bardago Clark, MSN, ANP, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0990763 Issued in CO

Practice address

1011 39TH Ave
Greeley, CO 80634-2504

Phone

(970) 351-8181

NPI assigned

Jul 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Evelyn Bardago Hu Professional name

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Urgent Care PLLCGroup PAC ID 6002834645, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colorado Urgent Care PLLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Arvada, CO
  • NPI 1144251976
  Medicare reassignment Care Compare group NPD
• Colorado Urgent Care PLLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Greeley, CO
  • NPI 1447868880
  NPD
• Medphone RX LLC

  • Nurse Practitioner
  • Fort Collins, CO
  • NPI 1568978229
  NPD

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1508208307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 39TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342504",
            "telephone_number": "970-351-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 39TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342504",
            "telephone_number": "970-351-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 E Mississippi Ave Unit 107B",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800123468",
            "country_code": "US",
            "telephone_number": "970-646-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "EVELYN",
        "middle_name": "BARDAGO",
        "name_prefix": "Ms.",
        "credential": "MSN, ANP, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990763",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "HU",
            "middle_name": "BARDAGO",
            "prefix": "MS.",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Candace Faith Ciufo
• Daniel Roy Clang, DO
• Tamara Sue Clang, DO
• Jayme L Clapp, MS, LPC
• Amanda Mae Clark
• Lenaise Clark, M.S
• Marco Clark, ATC
• Paula Fae Clark, FNP
• William Dale Clark, PHARMD
• Scott D Clawson, CAC III

• Family Nurse Practitioner in Greeley, CO
• Providers in Greeley, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.