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Adrienne Michelle Evans

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140

PECOS Enrollment

This provider is enrolled in PECOS as ADRIENNE EVANS.

Based on the most recent information from CMS, provider Adrienne Michelle Evans is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1366901902
Provider Type
Individual
Full Name
Evans, Adrienne Michelle
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/13/2019
Last Updated
10/5/2023

Contact Information

Practice Location

7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140

(260) 436-2416

(260) 436-6936

Mailing Location

250 N Shadeland Ave, Indianapolis, IN 46219-4959

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 28182503A Indiana
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 71008893A Indiana

Adrienne Michelle Evans

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Zuber, Adam J.

Degitz, Amber R.

Lombard, Paige Marie

Leffers, Jessica

Willard, Melissa A.

Hernandez, Jacqueline J.

Bunnell, Abbey K.

Barlow, Kelly S.

Pulver, Stacey Renee

Rodriguez, Laura L