Individual provider Active NPI

Evan T Nolander, D.O.

  • Family Medicine Physician
  • Shakopee, MN
National Provider Identifier
1700310166
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
82875 Issued in MN
Practice address
1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone
(952) 993-7750
NPI assigned
Apr 12, 2017
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 69743 WI
Family Medicine Physician 207Q00000X 82875 MN Primary

Addresses

Primary practice location

1415 Saint Francis Ave
Shakopee, MN 55379-3374

Mailing address

8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address enolander840212@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616002263 WI Practitioner - Family Practice 5092085852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City College of Medicine and Surgery, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 242-6865

3434 E Washington Ave
Madison, WI 53704-4155
Phone (608) 443-5480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
69743WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Access Community Health Centers, Inc. CurrentSince Jul 13, 2020 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 13, 2020 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 13, 2020 Accepting new patients
Access Community Health Centers, Inc. CurrentSince Jul 13, 2020 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

1100 Delaplaine Ct
Madison, WI 53715
Phone (608) 241-9020

2202 S Park St
Madison, WI 53713
Phone (608) 443-5480

2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840

2901 W Beltline Hwy
Ste 120
Madison, WI 53713
Phone (608) 443-5500

3209 Dryden Dr
Madison, WI 53704
Phone (608) 241-9020

3434 E Washington Ave
Madison, WI 53704
Phone (608) 443-5480

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7102 Mineral Point Rd
Madison, WI 53717
Phone (608) 828-7603

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: enolander518089@direct.unitypoint.org

Organizations & group practices 6

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.

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1700310166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 SAINT FRANCIS AVE",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793374",
            "telephone_number": "952-993-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLANDER",
        "first_name": "EVAN",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "69743",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "82875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enolander840212@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "3434 E Washington Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537044155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.