JENNIFER EVANS (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063781532
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for JENNIFER EVANS (FNP)
7224 W 400 N
Michigan City, IN 463602903
Phone: (219) 210-8331
Type: Location
710 FRANKLIN ST STE 200
MICHIGAN CITY, IN 463603564
Phone: (219) 872-6200
Fax: (219) 879-2915
Type: Mailing
710 FRANKLIN ST
STE 200
MICHIGAN CITY, IN 463603564
Phone: (219) 872-6200
Fax: (219) 879-2915
Type: Location
613 FRANKLIN ST STE C
MICHIGAN CITY, IN 463603411
Phone: (317) 449-9669
Fax: (888) 915-0644
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $745.
Total Amount is formed as General ($745) + Research ($0) + Ownership ($0) = $745.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($358).
Total Amount
$745
General + Research + Ownership
Payments
44
Total payment records
General Amount
$745
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $358 |
| Corium, LLC | $77 |
| Teva Pharmaceuticals USA, Inc. | $52 |
| E.R. Squibb & Sons, L.L.C. | $42 |
| Alkermes, Inc. | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130311000352 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 20 | $0 |
Insurance plans in this area (ZIP 46360)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IN | |
| - | IN | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | IN | |
| Clinical Social Worker | IN | |
| Marriage And Family Therapist | IN | |
| - | IN | |
| Clinical Social Worker | IN |
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