JANAYA JEAN MARIE EVENSON (RN, CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083371884

JANAYA JEAN MARIE EVENSON (RN, CNP) is a healthcare provider. based in Willmar, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, CNP. They hold a License No. 8802 (MN). The NPI Number for JANAYA JEAN MARIE EVENSON (RN, CNP) is 1083371884

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JANAYA JEAN MARIE EVENSON (RN, CNP)
NPI
1083371884
Phone
(320) 231-4399
Address
301 BECKER AVE SW
Enumeration Date
29 November 2021
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3209055971
Graduation Year
2021 (5 years ago)
PAC ID
4284029075
Group Practice PAC ID
4385009943
Professional Enrollment ID
I20220314000950
Address ID
MN562885000SP194XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JANAYA JEAN MARIE EVENSON (RN, CNP)

  • 301 BECKER AVE SW

    WILLMAR, MN 562013302

    Phone: (320) 231-4399

    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 10 Open Payments records for all available years, with a total value of $153.

Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($50).

Total Amount

$153

General + Research + Ownership

Payments

10

Total payment records

General Amount

$153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

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: 2022-03-14

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
I20220314000950INurse PractitionerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2423$0
99215Established patient office or other outpatient visit, 40-54 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 56201)

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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: 4385009943View full group profile
NameSpecialtyState
Nurse PractitionerND
Clinical Social WorkerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What unique ID ties claims to JANAYA JEAN MARIE EVENSON (RN, CNP)?
NPI 1083371884 is assigned to JANAYA JEAN MARIE EVENSON (RN, CNP) under the national enumeration system.
Does this profile mean JANAYA JEAN MARIE EVENSON (RN, CNP) is currently active?
Yes — JANAYA JEAN MARIE EVENSON (RN, CNP) appears active in the national provider directory.
What does JANAYA JEAN MARIE EVENSON (RN, CNP) treat or focus on?
Patients typically see JANAYA JEAN MARIE EVENSON (RN, CNP) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JANAYA JEAN MARIE EVENSON (RN, CNP)?
We surface Willmar, Minnesota for JANAYA JEAN MARIE EVENSON (RN, CNP) based on available NPPES addresses.
Is JANAYA JEAN MARIE EVENSON (RN, CNP) a real provider?
This page reflects official NPPES data for NPI 1083371884. Always confirm identity and privileges with the practice and licensing boards.

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