JENNIFER EVANS FNP
NPI 1063781532
Nurse Practitioner - Psychiatric/Mental Health in Michigan City, IN

Q: What is Jennifer Evans's NPI number?

The NPI number for Jennifer Evans is 1063781532. It was assigned to this individual provider in the NPPES registry on December 29, 2011.

Q: What is Jennifer Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Evans was last updated on April 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 29, 2011PECOS EnrolledAccepts Medicare Assignment

613 FRANKLIN ST STE C, MICHIGAN CITY, IN 46360(317) 449-9669(888) 915-0644 Get Directions Write a Review

NPPES record last updated: April 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2023, Dec 4, 2018, May 14, 2018 (3 updates tracked since 2018).

On this page

About Jennifer Evans Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER EVANS FNP (NPI 1063781532) is an individual psychiatric/mental health provider in Michigan City, Indiana, licensed in Indiana (71003874A) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Michigan City, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063781532

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER EVANSCredential: FNP

Location Address613 FRANKLIN ST STE CMichigan City, IN 46360-3411

Mailing Address613 Franklin St Ste CMichigan City, IN 46360-3411 · (317) 449-9669 · Fax (888) 915-0644

Phone(317) 449-9669

Fax(888) 915-0644

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 29, 2011

Last NPPES UpdateApril 16, 20233 updates tracked since enumeration

NPPES CertifiedApril 16, 2023

✔ NPI 1063781532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71003874A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28145112A (IN)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71003874A (IN)

613 FRANKLIN ST STE C, Michigan City, IN 46360

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Secondary Practice Location 1

Location 17224 W 400 NMichigan City, IN 46360-2903 · Phone (219) 210-8331

Other Identifiers 1

Medicaid201067810IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Evans Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315192705

PECOS Enrollment IDI20130311000352

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Evans reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthlinc, Inc.

2.1 mi

Federally Qualified Health Center (FQHC)

200 ALFRED ST
Michigan City, IN 46360

Reassigned Medicare billing, Indiana enrollment
183 clinicians in this Medicare group

NPI 1013105568 (219) 413-5100

Laporte County Comprehensive Mental Health Council

5.2 mi

Mental Health (Including Community Mental Health Center)

7224 W 400 N
Michigan City, IN 46360

Reassigned Medicare billing, Indiana enrollment
31 clinicians in this Medicare group

NPI 1295746816 (219) 879-4621

Edgewater Systems For Balanced Living, Inc

21 mi

Federally Qualified Health Center (FQHC)

426 S LAKE ST
Gary, IN 46403

Reassigned Medicare billing, Indiana enrollment
31 clinicians in this Medicare group

NPI 1245907344 (219) 939-6070

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

66 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims510 services$0.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE EFFECT HEALING PC

Nurse Practitioner (Psychiatric/Mental Health)

613 FRANKLIN ST STE C
MICHIGAN CITY, IN 46360

Laporte County (317) 449-9669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Evans's NPI number?

The NPI number for Jennifer Evans is 1063781532. It was assigned to this individual provider in the NPPES registry on December 29, 2011.

Where is Jennifer Evans located?

Jennifer Evans practices at 613 Franklin St Ste C, Michigan City, IN 46360. The listed phone number is (317) 449-9669.

What is Jennifer Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Evans enrolled in Medicare?

Yes. Jennifer Evans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Evans reassigns Medicare benefits to 3 organizations: Healthlinc, Inc. (Michigan City, IN), Laporte County Comprehensive Mental Health Council (Michigan City, IN) and Edgewater Systems For Balanced Living, Inc (Gary, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Evans accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Jennifer Evans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Evans was last updated on April 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.