Melissa Ann Evans, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

724094 Issued in TX

Practice address

3129 College St
Suite Number 200
Beaumont, TX 77701-4660

Phone

(409) 832-8600

Fax

(409) 832-8601

NPI assigned

Nov 13, 2010

Last updated

Jun 17, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Texas Medical Branch at Galveston, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenneth D Wilgers M.D. PAGroup PAC ID 7810084381, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth D Wilgers M.D. PA

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1689863169
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1700187341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 COLLEGE ST",
            "address_2": "SUITE NUMBER 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014660",
            "telephone_number": "409-832-8600",
            "fax_number": "409-832-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 COLLEGE ST",
            "address_2": "SUITE NUMBER 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014660",
            "telephone_number": "409-832-8600",
            "fax_number": "409-832-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-13",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "724094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daron Paul Etie, DDS
• Osarugue Sarah Etinfoh, PMHNP
• Etx Medical Group, PLLC (EastEx Urgent Care)
• Debbie Evans-Rogers, PT
• Keith Alan Evans, D.C.
• Ricky Lee Evans, M.D.
• Amy L Everett, MSW
• Amy Evernden, OT
• Exalted Home Care LLC (Exalted Home Care)
• Exceptional H C Beaumont LLC

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.