Individual provider Active NPI

Barbara P Evangelisti, NP-C

  • Family Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1871700658
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12236 Issued in TN
Practice address
6570 Summer Oaks CV
Bartlett, TN 38134
Phone
(901) 373-7100
Fax
(901) 842-0020
NPI assigned
May 17, 2007
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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 12236 TN Primary

Addresses

Primary practice location

6570 Summer Oaks CV
Bartlett, TN 38134

Mailing address

PO Box 1000 Dept 978
Memphis, TN 38148-0001
Phone (901) 373-7100

Other identifiers 2

IdentifierTypeStateIssuer
1531689MedicaidTN
6083405OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000437 TN Practitioner - Nurse Practitioner 7214199579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honeycomb Medical Group PLCGroup PAC ID 2668837204, 16 clinicians

Practice addresses (Care Compare)

6401 Poplar Ave
Suite 600
Memphis, TN 38119-4808
Phone (901) 753-3322

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12236TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Honeycomb Medical Group PLC CurrentSince Aug 28, 2023 Accepting new patients
Midsouth Independent Group, PLLC CurrentSince Jul 9, 2023 Accepting new patients
Medical Group of Memphis LLC Past Accepting new patients

Locations

6401 Poplar Ave
Ste 600
Memphis, TN 38119
Phone (901) 474-3530

6401 Poplar Ave
Ste 604
Memphis, TN 38119
Phone (901) 474-2402

Interoperability endpoints

  • Direct secure messaging: barbara.evangelisti@hmg.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDEADD

Organizations & group practices 3

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 4

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1871700658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 978",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-373-7100",
            "fax_number": "901-842-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 SUMMER OAKS CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-373-7100",
            "fax_number": "901-842-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTI",
        "first_name": "BARBARA",
        "middle_name": "P",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531689",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6083405",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.