Katelyn R Evans (NPI# 1366981169, PAC ID# 2769766674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366981169 |
| PAC ID by PECOS | 2769766674 |
| Professional Enrollment ID | I20170221000938 |
| Full Name | Katelyn R Evans |
| Organization Legal Name | MOMENTA PAIN CARE, LLC |
| Address |
1111 N 102nd Ct Suite 200 Omaha NE 68114-2194 |
| Phone Number | 4029916559 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3779842604 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160028 | CHI HEALTH MERCY COUNCIL BLUFFS |
| Address | Phone | Organization |
|---|---|---|
| 1111 N 102nd Ct, Suite 200, Omaha, NE 68114-2194 | 4029916559 | MOMENTA PAIN CARE, LLC |
| 1805 N 145th St, Omaha, NE 68154-1179 | 4029916559 | MOMENTA PAIN CARE, LLC |
| Organization Legal Name | MOMENTA PAIN CARE, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter N Piperis | Pain Management | Momenta Pain Care, LLC | 1805 N 145th St, Omaha, NE 68154-1179 |
| Griffith F Evans | Anesthesiology | Momenta Pain Care, LLC | 1805 N 145th St, Omaha, NE 68154-1179 |
| Street Address |
1111 N 102ND CT SUITE 200 |
| City | OMAHA |
| State | NE |
| Zip | 68114-2194 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph P Bast Jr. | Nephrology | Omaha Nephrology PC | 1111 N 102nd Ct, Suite 200, Omaha, NE 68114-2194 |
| Brian David Poole | Nephrology | Omaha Nephrology PC | 1111 N 102nd Ct, Suite 200, Omaha, NE 68114-2194 |
| Heather T Lechnowsky | Nephrology | Omaha Nephrology PC | 1111 N 102nd Ct, Suite 200, Omaha, NE 68114-2194 |
| Judd Philip Bauer | Nephrology | Omaha Nephrology PC | 1111 N 102nd Ct, Suite 200, Omaha, NE 68114-2194 |
| James F Sorrell | Certified Registered Nurse Anesthetist | Momenta Pain Care PC | 1111 N 102nd Ct, Omaha, NE 68114-2194 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anand R Deshmukh | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Amy L Swerczek | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Sarah M. Schmuecker | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Frank Mezzacappa | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Edmund O Fiksinski | Interventional Cardiology | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Erin Renee Brummett | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Patrick G. Meyers | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Jeffrey Michael Mahoney | Cardiac Electrophysiology | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Robert E Wear Iii | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Adam D Wells | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 102 Methodist Physicians Clinic Pulmonary Medicine Spe, Omaha, NE 68114-1119 |
| Find all physicians in zip 68114 | |||
| City | OMAHA |
| Zip Code | 68114 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OMAHA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Katelyn R Evans.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.