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

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: November 01, 2026.

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

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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Theresa Evans reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Oncology Partners, P.A.
Same address
Hematology & Oncology
1 EDMUNDSON PL STE 100
Council Bluffs, IA 51503
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: American Oncology Partners PA
  • 5 clinicians in this Medicare group
NPI 1336798750 (712) 322-4136
Charles Drew Health Center, Inc
13 mi
Federally Qualified Health Center (FQHC)
2915 GRANT STREET
Omaha, NE 68111
  • Reassigned Medicare billing, Nebraska enrollment
  • 65 clinicians in this Medicare group
NPI 1255302170 (402) 451-3553
Shelby County Chris A Myrtue Memorial Hospital
32 mi
Critical Access
1213 GARFIELD AVE
Harlan, IA 51537
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1831717552 (Iowa)
  • 70 clinicians in this Medicare group
NPI 1598871469 (712) 755-5161
Cass County Memorial Hospital
38 mi
Family Medicine
1501 E 10TH ST
Atlantic, IA 50022
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1093760944 (Iowa)
  • 112 clinicians in this Medicare group
NPI 1316148307 (712) 243-2850
Community Healthcare Partners NE LLC
62 mi
Primary Care
3901 FAULKNER DR
Lincoln, NE 68516
  • Reassigned Medicare billing, Nebraska enrollment
  • 40 clinicians in this Medicare group
NPI 1588242929 (402) 858-4044

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

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
Quality55.58
Promoting Interoperability98
Improvement Activities40
Cost50.92

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.

Which organizations bill Medicare for Theresa Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Evans reassigns Medicare benefits to 5 organizations: American Oncology Partners, P.A. (Council Bluffs, IA), Charles Drew Health Center, Inc (Omaha, NE), Shelby County Chris A Myrtue Memorial Hospital (Harlan, IA), Cass County Memorial Hospital (Atlantic, IA) and Community Healthcare Partners NE LLC (Lincoln, NE). 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 Theresa Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Evans accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 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.