Michelle Lee Evans, APRN
Individual provider Active NPI Family Nurse Practitioner · Jackson, MN
NPI 1831603166 · NPPES record last updated Nov 22, 2017
Key facts
- NPI
- 1831603166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5520 (MN)
- Practice address
- 1430 North Hwy
Jackson, MN 56143-1093 - Phone
- (507) 847-2420
- Fax
- (504) 847-6241
- NPI assigned
- Nov 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 27
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
1324 5TH St N
New Ulm, MN 56073-1514
Phone (507) 217-1327
Hospital & facility affiliations
- New Ulm Medical Center
- Abbott Northwestern Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180123001060 | MN | Practitioner - Nurse Practitioner | 6406115393 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5520 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Madelia Health | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5520 | MN | Yes |
Addresses
Primary practice location
1430 North Hwy
Jackson, MN 56143-1093
Mailing address
4718 450TH St
Granville, IA 51022-7512
Phone (712) 348-5496
Other providers in Jackson, MN
- Des Moines Valley Health and Human Services
- Desmoines Valley BHS
- Luz Maria Duvall
- Elbert Chiropractic, LLC
- Mason Elbert
- Miranda Lorelei Fisk
- Erika Freking
- Jared Paul Gilliland
- Leann K Gruhlke
- Anita Marie Handevidt
All providers in Jackson, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.