LEDA THERES EVANS (DNP) – Adult Health Nurse Practitioner, NPI 1780133694

LEDA THERES EVANS (DNP) is a healthcare provider. based in Kentwood, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 4704256163 (MI). The NPI Number for LEDA THERES EVANS (DNP) is 1780133694

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LEDA THERES EVANS (DNP)
NPI
1780133694
Phone
(616) 685-1808
Address
1900 44TH ST SE
Enumeration Date
4 October 2016
Last Update Date
4 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6166858650
Graduation Year
2016 (10 years ago)
PAC ID
4587942727
Group Practice PAC ID
4082807961
Professional Enrollment ID
I20161024000691
Address ID
MI495346407WA1175XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for LEDA THERES EVANS (DNP)

  • 1900, 44th Street Southeast, Kentwood, Kent County, Michigan, 49508, United States

    KENTWOOD, MI 495085008

    Phone: (616) 685-1808

    Fax: (616) 685-8099

    Type: Mailing

  • 1175, Wilson Avenue Northwest, Standale, Walker, Kent County, Michigan, 49534, United States

    WALKER, MI 495346407

    Phone: (616) 685-8650

    Fax: (616) 791-2160

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2023-05-17 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($110).

Total Amount

$110

General + Research + Ownership

Payments

1

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI-AVENTIS U.S. LLC$110
View all Open Payments →|Open Payments Risk Radar →

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: 2016-10-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161024000691INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082807961View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for LEDA THERES EVANS (DNP)?
LEDA THERES EVANS (DNP) — NPI 1780133694 — is the standard way to identify this listing.
Does the file indicate LEDA THERES EVANS (DNP) is practicing under active NPI?
Directory data currently reports LEDA THERES EVANS (DNP) as active.
What is LEDA THERES EVANS (DNP)'s specialty?
The listing groups LEDA THERES EVANS (DNP) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for LEDA THERES EVANS (DNP)?
LEDA THERES EVANS (DNP)'s geographic hint is Kentwood, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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