EVAN GLEAVES
NPI 1477181246
Student in an Organized Health Care Education/Training Program in Bowling Green, KY

Q: What is Evan Gleaves's NPI number?

The NPI number for Evan Gleaves is 1477181246. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Q: What is Evan Gleaves's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Gleaves was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 29, 2020PECOS Enrolled

250 PARK ST, BOWLING GREEN, KY 42101(270) 780-2693(270) 780-2691 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 31, 2025, Mar 29, 2020 (2 updates tracked since 2020).

On this page

About Evan Gleaves NPPES

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

EVAN GLEAVES (NPI 1477181246) is an individual student in an organized health care education/training program in Bowling Green, Kentucky and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477181246

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameEVAN GLEAVES

Location Address250 PARK STBowling Green, KY 42101-1760

Mailing Address250 Park StBowling Green, KY 42101-1760 · (270) 780-2693 · Fax (270) 780-2691

Phone(270) 780-2693

Fax(270) 780-2691

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 29, 2020

Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration

NPPES CertifiedDecember 31, 2025

✔ NPI 1477181246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License 05558 (KY)

250 PARK ST, Bowling Green, KY 42101

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Gleaves is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153790761

PECOS Enrollment IDI20251112002138

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

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180013

Location250 Park StreetBowling Green, KY 42101 · Warren County

Emergency services Birthing friendly

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.

CHRISTIAN MICHAEL KRANZ CRNA

Nurse Anesthetist, Certified Registered