NPIMap

Individual provider Active NPI

Michelle Lee Evans, APRN

  • Family Nurse Practitioner
  • Jackson, MN
National Provider Identifier
1831603166
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5520 Issued in MN
Practice address
1430 North Hwy
Jackson, MN 56143-1093
Phone
(507) 847-2420
Fax
(504) 847-6241
NPI assigned
Nov 22, 2017
Last updated
Nov 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5520 MN Primary

Addresses

Primary practice location

1430 North Hwy
Jackson, MN 56143-1093

Mailing address

4718 450TH St
Granville, IA 51022-7512
Phone (712) 348-5496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180123001060 MN Practitioner - Nurse Practitioner 6406115393 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

1324 5TH St N
New Ulm, MN 56073-1514
Phone (507) 217-1327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5520MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Sanford Health Network Current Accepting new patients
Allina Health System CurrentSince Jul 1, 2019 Accepting new patients
Madelia Health CurrentSince Apr 15, 2024 Accepting new patients
Allina Health System CurrentSince Jul 1, 2019 Accepting new patients
Allina Health System Past Accepting new patients

Locations

1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

1217 8th St N
New Ulm, MN 56073
Phone (507) 217-5000

1324 5th St N
New Ulm, MN 56073
Phone (507) 217-5000

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1831603166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 450TH ST",
            "city": "GRANVILLE",
            "state": "IA",
            "postal_code": "510227512",
            "telephone_number": "712-348-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 NORTH HWY",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431093",
            "telephone_number": "507-847-2420",
            "fax_number": "504-847-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MN

Sources for this page

Verify at the official NPI Registry.