Individual provider Active NPI

Janelle Morgan Evans, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Richmond, IN
National Provider Identifier
1912058041
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
01093522A Issued in IN
Practice address
1050 Reid Pkwy Ste 325
Richmond, IN 47374-1161
Phone
(659) 628-5517
Fax
(765) 962-2591
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 229963 MA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 35095645 OH
Gynecology Physician 207VG0400X 95645 OH
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 01093522A IN Primary

Addresses

Primary practice location

1050 Reid Pkwy Ste 325
Richmond, IN 47374-1161

Mailing address

1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374
Phone (765) 983-3127

Other identifiers 2

IdentifierTypeStateIssuer
35095645OtherOHLICENSE
3114427MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Direct Messaging Address jevans524669@direct.ketteringhealth.org
Direct Messaging Address jevans483170@ReidHealth.direct-ci.com Health Information Exchange (HIE) Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110301000911 OH Practitioner - Obstetrics/Gynecology 1456532050 Reassigns benefits to 1 organization
I20240503002657 IN Practitioner - UrologyPractitioner - Obstetrics/Gynecology 1456532050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Obstetrics/Gynecology
Education
Tufts University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1050 Reid Pkwy
Suite 325
Richmond, IN 47374-1161
Phone (765) 962-8551

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of the uterus11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
229963MAMDObstetrics & Gynecology Physician
35095645OHMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
95645OHMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince May 20, 2024 Accepting new patients
Reid Physician Associates, Inc CurrentSince May 20, 2024 Accepting new patients
Kettering Independent Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 29, 2022 Accepting new patients
Alliance Physicians Inc Past Accepting new patients

Locations

1050 Reid Pkwy
Ste 325
Richmond, IN 47374
Phone (765) 935-8905

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

3035 Hamilton Mason Rd
Ste 201
Fairfield Township, OH 45011
Phone (513) 721-3200

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

7740 Washington Village Dr
Ste 160
Washington Township, OH 45459
Phone (937) 436-9825

Interoperability endpoints

  • Direct secure messaging: jevans483170@reidhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1912058041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "47374",
            "telephone_number": "765-983-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REID PKWY STE 325",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741161",
            "telephone_number": "659-628-5517",
            "fax_number": "765-962-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JANELLE",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "229963",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "OH",
            "license": "35095645",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "95645",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IN",
            "license": "01093522A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35095645",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3114427",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7700 Washington Village Dr Ste 160",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jevans524669@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7700 Washington Village Dr Ste 160",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jevans483170@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1050 Reid Pkwy Ste 325",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.