CARISSA N EVANS DNP
NPI 1366922965
Nurse Practitioner in Fargo, ND

Active since August 14, 2018PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
801 BROADWAY N, FARGO, ND 58102(701) 234-2000 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2022, Feb 18, 2020, Jan 18, 2019 and 2 more (5 updates tracked since 2018).

About Carissa N Evans Dnp NPPES

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

CARISSA N EVANS DNP (NPI 1366922965) is an individual nurse practitioner in Fargo, North Dakota, licensed in Wisconsin (9704) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366922965
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARISSA N EVANSCredential: DNP
Location Address801 BROADWAY NFargo, ND 58102-3641
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2018
Last NPPES UpdateJune 9, 20225 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
NPI 1366922965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 9704
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.
801 BROADWAY N, Fargo, ND 58102

Other Names 1

Former Name (1)Carissa Hotovy

Other Identifiers 1

Medicaid100097135WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carissa N Evans Dnp 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 ID244583292
PECOS Enrollment IDI20220520000731
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.

Areas of Expertise CMS Part B claims 2

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
31 services25 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
801 BROADWAY N
FARGO, ND 58102
Nurse Anesthetist, Certified Registered
801 BROADWAY N
FARGO, ND 58102
Hospice Care, Community Based
801 BROADWAY N
FARGO, ND 58102
Family Medicine
801 BROADWAY N
FARGO, ND 58102
Internal Medicine (Infectious Disease)
801 BROADWAY N
FARGO, ND 58102
Internal Medicine (Gastroenterology)
801 BROADWAY N
FARGO, ND 58102
Pediatrics
801 BROADWAY N
FARGO, ND 58102
Internal Medicine
801 BROADWAY N
FARGO, ND 58102

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 Carissa Evans's NPI number?

The NPI number for Carissa Evans is 1366922965. It was assigned to this individual provider in the NPPES registry on August 14, 2018. The provider is also known as Carissa Hotovy.

Where is Carissa Evans located?

Carissa Evans practices at 801 Broadway N, Fargo, ND 58102. The listed phone number is (701) 234-2000.

What is Carissa Evans's specialty?

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

Is Carissa Evans enrolled in Medicare?

Yes. Carissa 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.

What insurance does Carissa Evans accept?

Health plans from Blue Cross Blue Shield of North Dakota and Medica list Carissa 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.

Is Carissa Evans affiliated with any hospitals?

According to CMS data, Carissa Evans is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Carissa Evans was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.