Individual provider Active NPI

Arthur Charles Evensen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clinton, MO
National Provider Identifier
1972245157
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2025006410 Issued in MO
Practice address
603 E Gaines Dr
Clinton, MO 64735-3205
Phone
(660) 885-8171
NPI assigned
Apr 8, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Midwestern University College of Dental Medicine, Glendale, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Valley Memorial Hospital District 138 clinicians

Practice addresses (Care Compare)

1602 N 2ND St
Golden Valley Medical Clinton
Clinton, MO 64735-1192
Phone (660) 890-8023

Hospital & facility affiliations

  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue41
Removal of nail tissue71
Removal or shaving of skin growth32

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807000983 MO Practitioner - Podiatry 9436657780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025006410MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District CurrentSince Aug 1, 2025 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 1, 2025 Accepting new patients
Golden Valley Memorial Hospital District Past Accepting new patients

Locations

603 E Gaines Dr
Clinton, MO 64735
Phone (660) 885-8141

1602 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2025006410 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

603 E Gaines Dr
Clinton, MO 64735-3205

Mailing address

603 E Gaines Dr
Clinton, MO 64735-3205
Phone (660) 885-8171

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2025.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1972245157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E GAINES DR",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647353205",
            "telephone_number": "660-885-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E GAINES DR",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647353205",
            "telephone_number": "660-885-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENSEN",
        "first_name": "ARTHUR",
        "middle_name": "CHARLES",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2025006410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

Verify at the official NPI Registry.