Individual provider Active NPI

Alicia Marie Evans, MSNA, CRNA

  • Certified Registered Nurse Anesthetist
  • Pittsburg, KS
National Provider Identifier
1568898674
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
557332 Issued in KS
Practice address
1 Mt Carmel Way
Pittsburg, KS 66762-7587
Phone
(620) 231-6100
Fax
(620) 231-0081
NPI assigned
Sep 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2013035078 MO
Certified Registered Nurse Anesthetist 367500000X 557332 KS Primary

Addresses

Primary practice location

1 Mt Carmel Way
Pittsburg, KS 66762-7587

Mailing address

2504 S Stilwell St
Pittsburg, KS 66762-6539
Phone (620) 249-6828

Other practice location 1

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-1111

Other practice location 2

1400 W 4th St
Coffeyville, KS 67337-3306
Phone (620) 252-1147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131028001918 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759516719 Reassigns benefits to 1 organization
I20150727000983 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759516719 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Pittsburg LLCGroup PAC ID 7618418088, 45 clinicians

Practice addresses (Care Compare)

1 Mt Carmel Way
Pittsburg, KS 66762-7587

1 Mt Carmel Way FL
Pittsburg, KS 66762-7587
Phone (620) 231-6100

2711 S Rouse St B
Mercy Clinic Pittsburg Pediatrics
Pittsburg, KS 66762-6621
Phone (620) 230-0044

Hospital & facility affiliations

  • Mercy Hospital Pittsburg, Inc Hospital, Pittsburg, KS, CCN 170006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
557332KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Laboratory Associates, Inc. Current Accepting new patients
Saint Luke'S Hospital of Allen County, Inc CurrentSince Aug 19, 2020 Accepting new patients
Freeman Surgical Center of Pittsburg, LLC CurrentSince Nov 5, 2015 Accepting new patients
Regional Medical Laboratory, Inc Current Accepting new patients
Mercy Clinic Pittsburg LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2024 Accepting new patients
Northstar Anesthesia of Missouri, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 6, 2023 Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2015 Accepting new patients
Midwest Pathology Associates LLC Current Accepting new patients

Locations

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

100 N Pine St
Pittsburg, KS 66762
Phone (620) 231-3750

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

2711 S Rouse St
Ste B
Pittsburg, KS 66762
Phone (620) 230-0044

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1568898674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 S STILWELL ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626539",
            "telephone_number": "620-249-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MT CARMEL WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667627587",
            "telephone_number": "620-231-6100",
            "fax_number": "620-231-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Coffeyville",
            "state": "KS",
            "postal_code": "673373306",
            "country_code": "US",
            "telephone_number": "620-252-1147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSNA, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2013035078",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.