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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELLEN R EVANS, M.D.

Active Sole Proprietor

ELLEN R EVANS, M.D. is a Geriatric Medicine healthcare provider located in OMAHA, Nebraska. NPI 1679696611 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · OMAHA, NE

Registration Details

NPI Number
1679696611
Provider Type
Individual
Gender
Female
NPI Issued
Apr 6, 2007 (19.317442813741 yrs)
Last Updated
Sep 11, 2025
Licenses
17202 (NE)
G5030 (TX)
14875 (OK)
17202 (NE)
G5030 (TX)
Sole Proprietor
Yes

Practice Information

Address
9662 N 29TH ST
OMAHA, NE, 681121524
Browse NE providers · Browse ZIP 68112
Phone
4025109923
Primary Specialty
Geriatric Medicine
207QG0300X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
Geriatric Medicine
Additional Specialty
Geriatric Medicine

Other Geriatric Medicine Providers in OMAHA, NE

Name Credential NPI
TIMOTHY R MALLOY MD 1902855919
HEATHER M MORGAN M.D. 1922013531
MR. WESLEY ALAN STEPHENS R.R.T. 1598883407
DR. BRANDI NICOLE FLAGG M.D. 1619230588
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.