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 | Nurse Practitioner |
Experience | 11 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 |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greater Regional Medical Center | 9234041013 | 37 |
Entity Name | Madison County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093929390 PECOS PAC ID: 6002727179 Enrollment ID: O20031126000714 |
Entity Name | Cass County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861597122 PECOS PAC ID: 5294634994 Enrollment ID: O20031231000681 |
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 |
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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 |