Dr Evan Douglas, DNP - Medicare Nurse Practitioner in Edina, MN

Dr Evan Douglas, DNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Edina, Minnesota. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fairview Express Care, Healtheast Medical Research Institute and his current practice location is 6545 France Ave S Ste 450, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 836-3695.

Dr Evan Douglas is licensed to practice in Minnesota (license number 7305) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952930976.

Contact Information

Dr Evan Douglas, DNP
6545 France Ave S Ste 450,
Edina, MN 55435-2122
(952) 836-3695
Not Available

Map and Direction




Provider's Profile

Full NameDr Evan Douglas
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location6545 France Ave S Ste 450, Edina, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Evan Douglas graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1952930976
  • Provider Enumeration Date: 04/02/2020
  • Last Update Date: 09/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355763699
  • Enrollment ID: I20200616000027

Medical Identifiers

Medical identifiers for Dr Evan Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952930976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 7305 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Ridges HospitalBurnsville, MNHospital
Fairview Southdale HospitalEdina, MNHospital
Healtheast St John's HospitalMaplewood, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791537
Healtheast Medical Research Institute3971407636517

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Evan Douglas allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Evan Douglas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Evan Douglas, DNP
6545 France Ave S Ste 450,
Edina, MN 55435-2122

Ph: () -
Dr Evan Douglas, DNP
6545 France Ave S Ste 450,
Edina, MN 55435-2122

Ph: (952) 836-3695

Reviews and Comments


Nurse Practitioner Nurses in Edina, MN

Vicki I Buth, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6545 France Ave S, Ste 540, Edina, MN 55435
Phone: 952-927-4045    Fax: 952-924-4133
Allison Dillon, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435
Phone: 952-914-1733    
Sarah Marie Nolan-holicky, AGNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435
Phone: 952-836-3637    
Stephen Swenson, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8100 W 78th St Ste 230, Edina, MN 55439
Phone: 952-946-9777    
Lisa Kae Feese, RN CDE FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7701 York Ave S, Suite 180, Edina, MN 55435
Phone: 952-927-7810    Fax: 952-927-6309
Kelley F Grotting, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4010 W 65th St, Edina, MN 55435
Phone: 952-456-7000    Fax: 952-456-7001
Jennifer B Galang, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6405 France Ave S, Suite W200, Edina, MN 55435
Phone: 952-924-9005    Fax: 952-924-0330

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.