Evanston Clinic Corp
NPI 1013916519 · Family Medicine Physician · Evanston, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evanston Clinic Corp is a Family Medicine Physician organization in Evanston, WY (NPI 1013916519).
Provider details
- NPI number
- 1013916519
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Fey, Director Revenue Cycle(615) 221-3641
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-18
- Last updated
- 2019-03-04
Frequently asked questions
- What is Evanston Clinic Corp's NPI number?
- Evanston Clinic Corp's National Provider Identifier (NPI) is 1013916519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evanston Clinic Corp?
- Evanston Clinic Corp is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Evanston Clinic Corp located?
- Evanston Clinic Corp's practice location on file with NPPES is 196 Arrowhead Dr Ste 8, Evanston, WY 82930-8752.
- What is Evanston Clinic Corp's phone number?
- The practice phone number listed in the NPPES registry for Evanston Clinic Corp is (307) 783-8365.
- Does Evanston Clinic Corp accept Medicare?
- Evanston Clinic Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evanston Clinic Corp?
- The authorized official listed on Evanston Clinic Corp's NPPES record is Laura Fey, Director Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evanston Clinic Corp's NPI active?
- Yes — Evanston Clinic Corp's NPI (1013916519) is active in the NPPES registry as of the last update on 2019-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.