Kelly C Evans, in Minneapolis, MN - Medicare Nurse Practitioner

Kelly C Evans, is a medicare enrolled "Nurse Practitioner - Gerontology" in Minneapolis, Minnesota. Her current practice location is 800 E 28th St # H2100, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 863-3900.

Kelly C Evans is licensed to practice in Minnesota (license number 9965) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538873765.

Contact Information

	Kelly C Evans,
	800 E 28th St # H2100, Minneapolis, MN 55407-3723
	(612) 863-3900
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly C Evans
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	800 E 28th St # H2100, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538873765
Provider Enumeration Date: 01/11/2023
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 3577936780
Enrollment ID: I20230308001421

Medical Identifiers

Medical identifiers for Kelly C Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538873765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	9965 (Minnesota)	Primary

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. Kelly C Evans allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Kelly C Evans 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 Address	Practice Location Address
Kelly C Evans, 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Kelly C Evans, 800 E 28th St # H2100, Minneapolis, MN 55407-3723 Ph: (612) 863-3900

Reviews and Comments

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Kelly C Evans, - Medicare Nurse Practitioner in Minneapolis, MN