1. Home
  2. Directory
  3. Wisconsin
  4. Oshkosh
  5. Nurse Practitioner
  6. NPI Profile

EVELYN LAUREN ANDERSEN ARNP
NPI 1295262772
Nurse Practitioner in Oshkosh, WI

Active since May 16, 2017Opted out of Medicare · through Jul 22, 2027
1259 WEST 20TH AVE, OSHKOSH, WI 54902(920) 651-3600(920) 651-3605 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2024, Mar 17, 2018, Feb 21, 2018 and 1 more (4 updates tracked since 2017).

About Evelyn Lauren Andersen Arnp NPPES

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

EVELYN LAUREN ANDERSEN ARNP (NPI 1295262772) is an individual nurse practitioner in Oshkosh, Wisconsin, licensed in Wisconsin (7801) and active in the NPI registry since May 2017. She has opted out of Medicare through July 22, 2027 and remains eligible to order and refer and maintains a secondary practice location in Oshkosh.

NPPES Registry Identity

NPI1295262772
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEVELYN LAUREN ANDERSENCredential: ARNP
Location Address1259 WEST 20TH AVEOshkosh, WI 54902
Mailing Address1259 West 20th AveOshkosh, WI 54902 · (920) 651-3600 · Fax (920) 651-3605
Phone(920) 651-3600
Fax(920) 651-3605
Sole ProprietorYes
Enumeration DateMay 16, 2017
Last NPPES UpdateDecember 27, 20244 updates tracked since enumeration
✔ NPI 1295262772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 7801
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 178788-30 (WI)
1259 WEST 20TH AVE, Oshkosh, WI 54902
Open in Google Maps ↗

Secondary Practice Location 1

Location 1855 N Westhaven DrOshkosh, WI 54904-7668 · Phone (920) 456-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Evelyn Lauren Andersen Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 22, 2019 through July 22, 2027.

Opt-Out Effective DateJuly 22, 2019
Opt-Out In Effect ThroughJuly 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54902 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Evelyn Andersen's NPI number?

The NPI number for Evelyn Andersen is 1295262772. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Evelyn Andersen located?

Evelyn Andersen practices at 1259 West 20th Ave, Oshkosh, WI 54902. The listed phone number is (920) 651-3600.

What is Evelyn Andersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Evelyn Andersen enrolled in Medicare?

No. Evelyn Andersen has opted out of Medicare through July 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Evelyn Andersen was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.