TIA EVENSON APRN
NPI 1972100766
Nurse Practitioner - Family in Chesterfield, MO

Active since October 05, 2020PECOS Enrolled
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017(636) 237-4700(314) 364-6350 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2024, Oct 18, 2021, Oct 5, 2020 (3 updates tracked since 2020).

About Tia Evenson Aprn NPPES

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

TIA EVENSON APRN (NPI 1972100766) is an individual family provider in Chesterfield, Missouri, licensed in Missouri (2025039863) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972100766
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIA EVENSONCredential: APRN
Location Address15740 S OUTER 40 RDChesterfield, MO 63017-2004
Mailing Address15740 S Outer 40 RdChesterfield, MO 63017-2004 · (636) 237-4700 · Fax (314) 364-6350
Fax(314) 364-6350
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 5, 2020
Last NPPES UpdateFebruary 24, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
NPI 1972100766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2025039863
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95026529 (CA)
15740 S OUTER 40 RD, Chesterfield, MO 63017

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tia Evenson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002235280
PECOS Enrollment IDI20260304001216
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Family Medicine
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Psychiatry & Neurology (Neurology)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Counselor (Professional)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017

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 Tia Evenson's NPI number?

The NPI number for Tia Evenson is 1972100766. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Where is Tia Evenson located?

Tia Evenson practices at 15740 S Outer 40 Rd, Chesterfield, MO 63017. The listed phone number is (636) 237-4700.

What is Tia Evenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tia Evenson enrolled in Medicare?

Yes. Tia Evenson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tia Evenson was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.