Jackie L Evans (NPI# 1588657860, PAC ID# 6709807613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588657860 |
| PAC ID by PECOS | 6709807613 |
| Professional Enrollment ID | I20100414000070 |
| Full Name | Jackie L Evans |
| Organization Legal Name | CORNERSTONE FAMILY PHYSICIANS PC |
| Address |
8902 N Meridian St Suite 230 Indianapolis IN 46260-5307 |
| Phone Number | 3175818888 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193746006 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150084 | ST. VINCENT HOSPITALS AND HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 8902 N Meridian St, Suite 230, Indianapolis, IN 46260-5307 | 3175818888 | CORNERSTONE FAMILY PHYSICIANS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | CORNERSTONE FAMILY PHYSICIANS PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa M Krueger | Family Medicine | Cornerstone Family Physicians PC | 8902 N Meridian St, Suite 230, Indianapolis, IN 46260-5307 |
| Judith H Sutton | Family Practice | Cornerstone Family Physicians PC | 8902 N Meridian St, Indianapolis, IN 46260-5307 |
| Street Address |
8902 N MERIDIAN ST SUITE 230 |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46260-5307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Michelle Brenner | Rheumatology | Rheumatology Associates, P.C. | 8902 N Meridian St, Suite 210, Indianapolis, IN 46260-5307 |
| Ryan A Cotton | Physical Therapy | Body One Health and Fitness Center LLC | 8902 N Meridian St, Suite 120, Indianapolis, IN 46260-5306 |
| Ann C Collins | Family Medicine | 8902 N Meridian St, Suite 230, Indianapolis, IN 46260-5307 | |
| Matthew Marvin Zaudtke | Physical Therapy | Body One Health and Fitness Center LLC | 8902 N Meridian St, Suite 120, Indianapolis, IN 46260-5306 |
| Nicole Emily Kastner | Physical Therapy | Body One Health and Fitness Center LLC | 8902 N Meridian St, Suite 120, Indianapolis, IN 46260-5306 |
| Douglas B Smith | Rheumatology | Rheumatology Associates, P.C. | 8902 N Meridian St, Suite 210, Indianapolis, IN 46260-5307 |
| Mark Holbreich | Allergy/immunology | 8902 N Meridian St, Suite 100, Indianapolis, IN 46260-5306 | |
| Theresa M Krueger | Family Medicine | Cornerstone Family Physicians PC | 8902 N Meridian St, Suite 230, Indianapolis, IN 46260-5307 |
| Punam Shah | Physical Therapy | Body One Health and Fitness Center LLC | 8902 N Meridian St, Suite 120, Indianapolis, IN 46260-5306 |
| Hannah Rose Ziker | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 8902 N Meridian St, Suite 100, Indianapolis, IN 46260-5306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Jo Johnson | Chiropractic | 1305 W 96th St C, Indianapolis, IN 46260-1139 | |
| Becky J Sayre | Clinical Social Worker | 1311 W 96th St, Suite 105, Indianapolis, IN 46260-1173 | |
| Lisa A Miller | Family Medicine | 1329 W 96th St, Suite 1, Indianapolis, IN 46260-1190 | |
| Daniel G Williams | Osteopathic Manipulative Medicine | Excell for Life Family Care and Pediatrics Inc | 1329 W 96th St, Indianapolis, IN 46260-1190 |
| Wendy J Rich | Anesthesiology | Ophthalmic Anesthesia Associates, LLC | 9202 N Meridian St, Indianapolis, IN 46260-1800 |
| Amy S Delumpa | Anesthesiology | Ophthalmic Anesthesia Associates, LLC | 9202 N Meridian St, Indianapolis, IN 46260-1800 |
| Mary Louise Sanders | Clinical Psychologist | 9102 N Meridian St, Indianapolis, IN 46260-1809 | |
| Sarah A Huseman | Optometry | Eye Surgeons of Indiana, PC | 9202 N Meridian St, Suite 100, Indianapolis, IN 46260-1810 |
| Paul F Cacchillo | Ophthalmology | Eye Surgeons of Indiana, PC | 9202 N Meridian St, Suite 100, Indianapolis, IN 46260-1810 |
| Moazzam W Habib | Endocrinology | Moazzam Habib Md PC | 9240 N Meridian St, Suite 120, Indianapolis, IN 46260-1811 |
| Find all physicians in zip 46260 | |||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | INDIANAPOLIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jackie L 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.