EVANS KOMEN (DNP,PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003216839
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for EVANS KOMEN (DNP,PMHNP-BC)
2750 SAINT FRANCIS DR
WATERLOO, IA 507025644
Phone: (319) 272-8922
Fax: (319) 272-8929
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 185 Open Payments records for all available years, with a total value of $2,872.
Total Amount is formed as General ($2,872) + Research ($0) + Ownership ($0) = $2,872.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alkermes, Inc. ($546).
Total Amount
$2,872
General + Research + Ownership
Payments
185
Total payment records
General Amount
$2,872
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (920 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20141117000608 | I | Nurse Practitioner | IA | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 20 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 63 | 13 | $0 |
Insurance plans in this area (ZIP 50702)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IA | 90792 | Psychiatric diagnostic evaluation with medical services | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IA | |
| Clinical Social Worker | IA | |
| Nurse Practitioner | IA | |
| Clinical Social Worker | IA | |
| Nurse Practitioner | ND |
Reviews
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