Kelly Charles Evans, PH.D.
NPI 1720165251ActiveIndividual· Psychologist, Counseling· Wausau, WI
Psychologist, Counseling (PH.D.) in Wausau, Wisconsin, trained at University of Missouri, Kansas City, School of Medicine (class of 1994). Medicare paid $19,116 for services to 20 patients in 2024.
Overview
| NPI | 1720165251 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 2027 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 176 across 4 procedure codes |
| Paid by Medicare | $19,116 |
Education and affiliations
| Medical school | University of Missouri, Kansas City, School of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Clinical Psychologist |
Other Psychologist, Counseling providers in Wausau
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