| Kathleen Nicole Evans, CRNA | |
|
1700 W Townline St, Creston, IA 50801-1054 | |
| (641) 782-7091 | |
| (641) 782-3825 |
| Full Name | Kathleen Nicole Evans |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1700 W Townline St, Creston, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497839252 | NPI | - | NPPES |
| 1497839252 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A139952 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D139952 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greater Regional Medical Center | Creston, IA | Hospital |
| Mercyone North Iowa Medical Center | Mason city, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Iowa Mercy Clinics | 7810809076 | 273 |
| Greater Regional Medical Center | 9234041013 | 34 |
| Entity Name | North Iowa Mercy Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273 |
| Entity Name | Greater Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902805062 PECOS PAC ID: 9234041013 Enrollment ID: O20040205000926 |
| Entity Name | Shelby County Chris A Myrtue Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922184175 PECOS PAC ID: 5193619393 Enrollment ID: O20040210000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Nicole Evans, CRNA 1700 W Townline St, Creston, IA 50801-1054 Ph: (641) 782-7091 | Kathleen Nicole Evans, CRNA 1700 W Townline St, Creston, IA 50801-1054 Ph: (641) 782-7091 |
Gregory A Anderson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1700 W Townline St, Creston, IA 50801 Phone: 641-782-7091 Fax: 641-782-3830 | |
Stephanie Anne Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1700 W Townline St, Creston, IA 50801 Phone: 641-782-7091 Fax: 641-782-3830 | |
Mr. Brian Gutmann, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1700 W Townline St, Creston, IA 50801 Phone: 641-782-7091 | |
Joel Emerson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 W Townline St, Creston, IA 50801 Phone: 641-782-7091 Fax: 641-782-3830 |