NPIMap

Organization Active NPI

Ametrine Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spicer, MN
National Provider Identifier
1902526437
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AMETRINE MENTAL HEALTH PLLC
Practice address
194 Progress Way
Spicer, MN 56288-5000
Phone
(320) 640-2891
NPI assigned
Sep 2, 2022
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Janaya Jean Marie Evenson, PMHNPNPI 1083371884
Title
Member
Phone
(320) 640-2891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

194 Progress Way
Spicer, MN 56288-5000

Mailing address

194 Progress Way
Spicer, MN 56288-5000
Phone (320) 640-2891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230503002903 MN Part B Supplier - Clinic/Group Practice 4385009943 Receives reassigned benefits from 5 practitioners
Practice locations: Spicer, MN

National Provider Directory

National Provider Directory

Locations

194 Progress Way
Spicer, MN 56288
Phone (320) 640-2891

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1902526437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 PROGRESS WAY",
            "city": "SPICER",
            "state": "MN",
            "postal_code": "562885000",
            "telephone_number": "320-640-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 PROGRESS WAY",
            "city": "SPICER",
            "state": "MN",
            "postal_code": "562885000",
            "telephone_number": "320-640-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETRINE MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "EVENSON",
        "authorized_official_first_name": "JANAYA",
        "authorized_official_middle_name": "JEAN MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "320-640-2891",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spicer, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.