THERESA MARGARET EVANS APRN NP
NPI 1477012029
Nurse Practitioner in Council Bluffs, IA

Q: What is Theresa Evans's NPI number?

The NPI number for Theresa Evans is 1477012029. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Q: What is Theresa Evans's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Evans was last updated on August 25, 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 March 13, 2019PECOS EnrolledAccepts Medicare Assignment

73.57/100

CMS Quality Rating

1 EDMUNDSON PL STE 100, COUNCIL BLUFFS, IA 51503(717) 322-4136(717) 322-8129 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2023, Mar 13, 2019 (2 updates tracked since 2019).

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About Theresa Margaret Evans Aprn Np NPPES

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

THERESA MARGARET EVANS APRN NP (NPI 1477012029) is an individual nurse practitioner in Council Bluffs, Iowa, licensed in Iowa (A175030) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477012029

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA MARGARET EVANSCredential: APRN NP

Location Address1 EDMUNDSON PL STE 100Council Bluffs, IA 51503-4659

Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (239) 432-8331 · Fax (813) 321-1296

Phone(717) 322-4136

Fax(717) 322-8129

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 13, 2019

Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration

NPPES CertifiedAugust 25, 2023

✔ NPI 1477012029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IA · A175030✔ Licensed in NE · 112732

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.

1 EDMUNDSON PL STE 100, Council Bluffs, IA 51503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Theresa Margaret Evans Aprn Np 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 ID6608273909

PECOS Enrollment IDI20230817002892

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.

Hospital Affiliations CMS Care Compare 3

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

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160047

Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County

Emergency services Birthing friendly

Myrtue Medical Center

Critical Access Hospitals · Harlan, IA

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161374

Location1213 Garfield AvenueHarlan, IA 51537 · Shelby County

Emergency services Birthing friendly

Cass County Memorial Hospital

Critical Access Hospitals · Atlantic, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161376

Location1501 East Tenth StreetAtlantic, IA 50022 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

73.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

55.58

Promoting Interoperability

Improvement Activities

Cost

50.92

Other Providers at the Same Location NPPES 4

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

TAMMY MARIE JOHNSON ARNP

Nurse Practitioner

1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503

Pottawattamie County (717) 322-4136

AMERICAN ONCOLOGY PARTNERS, P.A.

Internal Medicine (Hematology & Oncology)

1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 322-4136

ANDREA J ANDERSON

Nurse Practitioner

1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503

Pottawattamie County (717) 322-4136

KRISTIN ELIZABETH MARKEL AGACNP-BC

Nurse Practitioner

1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503

Pottawattamie County (402) 322-4136

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 Theresa Evans's NPI number?

The NPI number for Theresa Evans is 1477012029. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Theresa Evans located?

Theresa Evans practices at 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503. The listed phone number is (717) 322-4136.

What is Theresa Evans's specialty?

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

Is Theresa Evans enrolled in Medicare?

Yes. Theresa 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 Theresa Evans accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Louisiana Healthcare Connections and 10 other insurers list Theresa 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 Theresa Evans affiliated with any hospitals?

According to CMS data, Theresa Evans is affiliated with Methodist Jennie Edmundson, Myrtue Medical Center and Cass County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Evans was last updated on August 25, 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.