Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan J Kavanaugh, APRN

Individual provider Nurse Practitioner · NPI 1063167815

Evan J Kavanaugh, APRN is a Nurse Practitioner in Topeka, Kansas. Qualified in 2021, 5 years ago. Practices with Cotton-O'Neil Clinic Revocable Trust, a 658-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Licensed in
KS
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2660 SW 3rd St
Topeka, KS 66606-2442
Phone: (785) 354-9591
Fax: (785) 368-0739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Sw 10th Ave, Topeka, KS 66604-1301 — (785) 354-5242

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 53-80991 (KS)

Record details

NPI number1063167815
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address1500 Sw 10th Ave, Topeka, KS 66604-1301

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cotton-O'Neil Clinic Revocable Trust — 658 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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