Active NPI
Sarah Evans, CRNP
- Acute Care Nurse Practitioner
- Du Bois, PA
National Provider Identifier
1922358555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP012333
- Practice address
- 145 Hospital Ave
Suite 113
Du Bois, PA 15801-1462 - Phone
- (814) 375-3722
- Fax
- (814) 375-3086
- NPI assigned
- Sep 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP012333 | PA | Primary |
Addresses
Primary practice location
145 Hospital Ave
Suite 113
Du Bois, PA 15801-1462
Mailing address
145 Hospital Ave
Suite 113
Du Bois, PA 15801-1462
Phone (814) 375-3722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP012333 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Du Bois Nephrology Associates, PC | Current | Accepting new patients |
Locations
190 W Park Ave
Ste 1
Dubois, PA 15801
Phone (814) 371-7590
3 Penn Ctr W
Ste 127
Pittsburgh, PA 15276
Interoperability endpoints
- sjaneevans@dna.medentdirect.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Du Bois, PA
- NPI 1518905900
-
- Cardiovascular Disease Physician
- Du Bois, PA
- NPI 1477594232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1922358555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE",
"address_2": "SUITE 113",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011462",
"telephone_number": "814-375-3722",
"fax_number": "814-375-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE",
"address_2": "SUITE 113",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011462",
"telephone_number": "814-375-3722",
"fax_number": "814-375-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SARAH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP012333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.