Active NPI
James Evenson, AUDIOLOGIST
- Audiologist
- Hutchinson, KS
National Provider Identifier
1740255199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1174
- Practice address
- 2101 N Waldron St
Hutchinson, KS 67502-1131 - Phone
- (620) 669-2500
- Fax
- (620) 694-2170
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1174 | KS | Primary |
Addresses
Primary practice location
2101 N Waldron St
Hutchinson, KS 67502-1131
Mailing address
2101 N Waldron St
Hutchinson, KS 67502-1131
Phone (620) 669-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100228340A | Medicaid | KS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jamesevenson@hcpa.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040917000425 | KS | Practitioner - Qualified Audiologist | 4385612456 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2101 N Waldron St
Hutchinson, KS 67502-1131
Phone (620) 669-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1174 | KS | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Hutchinson Clinic, P.a. Inc. | Current | Accepting new patients | |
| Heartland Radiation Oncology | Current | Accepting new patients | |
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Hutchinson Clinic, PA, Inc. | Current | Accepting new patients |
Locations
2101 N Waldron St
Hutchinson, KS 67502
Phone (620) 669-2500
Interoperability endpoints
- jamesevenson@hcpa.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Radiation Oncology Physician
- Hutchinson, KS
- NPI 1275512535
-
- Rural Health Clinic/Center
- Hutchinson, KS
- NPI 1902871940
-
- Ambulatory Surgical Clinic/Center
- Hutchinson, KS
- NPI 1386619682
-
- Clinical Medical Laboratory
- Hutchinson, KS
- NPI 1962477356
-
- Health Educator
- Hutchinson, KS
- NPI 1821639774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1740255199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 N WALDRON ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021131",
"telephone_number": "620-669-2500",
"fax_number": "620-694-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N WALDRON ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021131",
"telephone_number": "620-669-2500",
"fax_number": "620-694-2170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVENSON",
"first_name": "JAMES",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KS",
"license": "1174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100228340A",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jamesevenson@hcpa.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Hutchinson Clinic, PA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2101 N Waldron St",
"city": "Hutchinson",
"state": "KS",
"country_code": "US",
"postal_code": "675021131",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.