Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC - Medicare Nurse Practitioner in Canby, OR

Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Canby, Oregon. His current practice location is 409 Nw 2nd Ave, Canby, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 266-1407.

Mr Leasel Wayne Evans is licensed to practice in Oregon (license number 201709151NP-PP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275939043.

Contact Information

Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC
409 Nw 2nd Ave,
Canby, OR 97013-3517
(503) 266-1407
(503) 266-1849

Map and Direction




Provider's Profile

Full NameMr Leasel Wayne Evans
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location409 Nw 2nd Ave, Canby, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275939043
  • Provider Enumeration Date: 11/06/2014
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3779900337
  • Enrollment ID: I20200827000547

Medical Identifiers

Medical identifiers for Mr Leasel Wayne Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275939043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent 201406240RN (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 201709151NP-PP (Oregon)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. Mr Leasel Wayne Evans allows following entities to bill medicare on his behalf.
Entity NameTms Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881139913
PECOS PAC ID: 2567720113
Enrollment ID: O20180103001359

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. Mr Leasel Wayne 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 AddressPractice Location Address
Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC
409 Nw 2nd Ave,
Canby, OR 97013-3517

Ph: (503) 266-1407
Mr Leasel Wayne Evans, RN, MSN, PMHNP-BC
409 Nw 2nd Ave,
Canby, OR 97013-3517

Ph: (503) 266-1407

Reviews and Comments


Nurse Practitioner Nurses in Canby, OR

Mr. John Michael Richards, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 703 Se 1st Ave, Canby, OR 97013
Phone: 503-266-7686    Fax: 503-266-7382
Mrs. Jennifer Moon, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 703 Se 1st Ave, Canby, OR 97013
Phone: 503-266-7686    
Loveleen K Brar, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1185 S Elm St, Canby, OR 97013
Phone: 503-797-2252    
Meghan E. Brennan, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 178 Sw 2nd Ave, Canby, OR 97013
Phone: 503-416-4547    Fax: 503-416-4553
Ms. Anne Marie Barry-lever, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 178 Sw 2nd Ave, Canby, OR 97013
Phone: 503-416-4547    Fax: 503-416-4555
Dianne Eileen Blust, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1185 S Elm St, Canby, OR 97013
Phone: 503-723-4670    Fax: 503-266-6649
Peter C Sunderland, MSN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 409 Nw 2nd Ave, Canby, OR 97013
Phone: 503-266-1407    

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.