Jeannie D Evans, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

005387 Issued in AZ

Practice address

2650 E Show Low Lake Rd
Suite 1
Show Low, AZ 85901-7955

Phone

(928) 537-4300

Fax

(928) 537-4320

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

Family PracticeAlso: Hospice/Palliative Care

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Page HospitalGroup PAC ID 5496665861, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Zion'S Way Home Health Home health agency, Page, AZ, CCN 037290
• Page Hospital Hospital, Page, AZ, CCN 031304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  Medicare reassignment Care Compare group NPD
• Page Hospital

  • Rural Health Clinic/Center
  • Page, AZ
  • NPI 1902317829

  Hospice and Palliative Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  Care Compare affiliation
• Red Rock Healthcare, Inc.

  • Home Health Agency
  • St George, UT
  • NPI 1588930705
  Care Compare affiliation

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1942408844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 E SHOW LOW LK RD",
            "address_2": "SUITE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017955",
            "telephone_number": "928-537-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E SHOW LOW LAKE RD",
            "address_2": "SUITE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017955",
            "telephone_number": "928-537-4300",
            "fax_number": "928-537-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JEANNIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Dentistry Az, PLLC
• El Rio Santa Cruz Neighborhood Health Center, Inc.
• Curtis Ellsworth
• Ty Ellsworth, DMD
• Endo Associates
• Jessica Fain, PA-C
• Familyfirst Counseling & Behavioral Healthy Services, Inc.
• Fancy Anesthesia Services Inc
• Krista M Farr, DDS
• Fawcett Chiropractic Inc

• Family Medicine Physician in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.