JENNA ROSE EVANS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1992146237

JENNA ROSE EVANS (CRNA) is a healthcare provider. based in De pere, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 195910-30 (WI). The NPI Number for JENNA ROSE EVANS (CRNA) is 1992146237

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
JENNA ROSE EVANS (CRNA)
NPI
1992146237
Phone
(920) 471-7577
Address
1480 NAVIGATOR WAY UNIT 46
Enumeration Date
15 July 2013
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204330111
Graduation Year
2025 (1 year ago)
PAC ID
8022521731
Group Practice PAC ID
4486613858
Professional Enrollment ID
I20250626003583
Address ID
WI543013526GR835XXSTXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

1,141 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for JENNA ROSE EVANS (CRNA)

  • 1480 NAVIGATOR WAY UNIT 46

    DE PERE, WI 541157226

    Phone: (920) 471-7577

    Type: Mailing

  • 510 BRULE RD

    DE PERE, WI 541153713

    Phone: (920) 471-7577

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-26

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
I20250626003583ICertified Registered Nurse Anesthetist (Crna)WITBD

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 54115)

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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: 4486613858View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
-MI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

Is JENNA ROSE EVANS (CRNA) listed with a National Provider Identifier?
Yes — JENNA ROSE EVANS (CRNA) has NPI 1992146237 on file in the registry.
Is there an active status for JENNA ROSE EVANS (CRNA)?
For scheduling context, JENNA ROSE EVANS (CRNA) is shown as active in the registry.
What clinical focus is listed for JENNA ROSE EVANS (CRNA)?
At a glance, JENNA ROSE EVANS (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JENNA ROSE EVANS (CRNA) associated with De Pere?
Public fields place JENNA ROSE EVANS (CRNA) around De Pere, Wisconsin. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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