NPIMap

Individual provider Active NPI

Anthony C Evans Jr., MD

  • Gynecologic Oncology Physician
  • Waunakee, WI
National Provider Identifier
1720198880
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
311933 Issued in LA
Practice address
1105 Moll Dr
Waunakee, WI 53597-9166
Phone
(608) 695-8862
Fax
(225) 269-1249
NPI assigned
Aug 30, 2006
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 39972-20 WI
Gynecologic Oncology Physician 207VX0201X 311933 LA Primary
Gynecologic Oncology Physician 207VX0201X MD228837 OR

Addresses

Primary practice location

1105 Moll Dr
Waunakee, WI 53597-9166

Mailing address

1105 Moll Dr
Waunakee, WI 53597-9166
Phone (608) 695-8862

Other identifiers 1

IdentifierTypeStateIssuer
32515200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, LA, OR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20061003000698 WI Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 8527063189 Reassigns benefits to 1 organization
I20190531000149 LA Practitioner - Gynecological Oncology 8527063189 Reassigns benefits to 2 organizations
I20260413002026 OR Practitioner - Gynecological Oncology 8527063189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Medical College of Georgia School of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Womans Gynecologic OncologyGroup PAC ID 7911133848, 6 clinicians
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

100 Womans Way
Baton Rouge, LA 70817-5100

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

500 Rue de la Vie St
Suite 515
Baton Rouge, LA 70817-5129
Phone (225) 216-3006

5000 Ambassador Caffery Pkwy
Lafayett, LA 70508-6984
Phone (225) 316-3006

875 Oak St SE
Salem, OR 97301-3975
Phone (503) 561-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39972-20WIMDObstetrics & Gynecology Physician
311933LAMDGynecologic Oncology Physician
MD228837ORMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Medical Center Inc CurrentSince Feb 20, 2026 Accepting new patients
Lsuhn Billing LLC CurrentSince Jun 17, 2019 Accepting new patients
Womans Gynecologic Oncology CurrentSince Jun 17, 2019 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Feb 20, 2026 Accepting new patients
Lsuhn Billing LLC CurrentSince Jun 17, 2019 Accepting new patients
Gundersen Lutheran Medical Center, Inc. Past Accepting new patients
Woman's Hospital Foundation Past Accepting new patients
Woman's Hospital Foundation Past Accepting new patients

Locations

500 Rue de la Vie St
Ste 407
Baton Rouge, LA 70817
Phone (225) 215-7588

500 Rue de la Vie St
Ste 410
Baton Rouge, LA 70817
Phone (225) 216-3006

500 Rue de la Vie St
Ste 515
Baton Rouge, LA 70817
Phone (225) 216-3006

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

5000 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (225) 316-3006

5000 Ambassador Caffery Pkwy
Bldg 4
Lafayette, LA 70508
Phone (225) 316-3006

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

Interoperability endpoints

  • Direct secure messaging: aevans21934@womanshospital.direct-ci.com

Organizations & group practices 10

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 10

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1720198880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MOLL DR",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535979166",
            "telephone_number": "608-695-8862",
            "fax_number": "225-269-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MOLL DR",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535979166",
            "telephone_number": "608-695-8862",
            "fax_number": "225-269-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "39972-20",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "LA",
            "license": "311933",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "OR",
            "license": "MD228837",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32515200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waunakee, WI

Sources for this page

Verify at the official NPI Registry.