DR. EVAN DOUGLAS DNP
NPI 1952930976
Nurse Practitioner - Acute Care in Edina, MN
About Dr. Evan Douglas Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EVAN DOUGLAS DNP (NPI 1952930976) is an individual acute care provider in Edina, Minnesota, licensed in Minnesota (7305) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Evan Douglas 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.
Medicare Billing Reassignments
3Medicare enrollment records show Evan Douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNM Health Fairview Ridges Hospital
Acute Care Hospitals · Burnsville, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDINA, MN 55435
EDINA, MN 55435
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 Evan Douglas's NPI number?
The NPI number for Evan Douglas is 1952930976. It was assigned to this individual provider in the NPPES registry on April 2, 2020.
Where is Evan Douglas located?
Evan Douglas practices at 6545 France Ave S Ste 450, Edina, MN 55435. The listed phone number is (952) 836-3695.
What is Evan Douglas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Evan Douglas enrolled in Medicare?
Yes. Evan Douglas 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 Evan Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Douglas reassigns Medicare benefits to 3 organizations: Fairview Express Care (Edina, MN), Fairview Specialty Services (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). 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 Evan Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evan Douglas accept?
Health plans from Sanford Health Plan list Evan Douglas 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 Evan Douglas affiliated with any hospitals?
According to CMS data, Evan Douglas is affiliated with M Health Fairview Southdale Hospital, M Health Fairview Ridges Hospital and M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Evan Douglas was last updated on September 4, 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.
# Dr. Evan Douglas, DNP · NPI 1952930976
Acute Care physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1952930976 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 7305 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6545 FRANCE AVE S STE 450, Edina, MN 55435-2122
- **Phone:** (952) 836-3695
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1467116186, Edina, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1952930976) · Data from the CMS NPPES public registry.