Evan Patrick Bickerstaff
Evan Patrick Bickerstaff is a Certified Registered Nurse Anesthetist (CRNA) in Kokomo, Indiana. Qualified in 2025, 1 year ago. Practices with St Joseph Primary Care, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 1
- Licensed in
- IN
- In the registry since
- 2025
Practice location Address checks out
1907 W Sycamore StKokomo, IN 46901-5148
Phone: (765) 452-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 28254369A (IN) |
|---|
Record details
| NPI number | 1790588150 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 31, 2025 |
| Last updated in NPPES | May 28, 2025 |
| Certification date | May 28, 2025 |
| Mailing address | 5816 Beacon Cove Way, Indianapolis, IN 46237-9192 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | St. Joseph Primary Care, Llc — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Kokomo
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C Hammerly Anesthesia Services LLC
1601 W Lincoln Rd, Kokomo, IN 46902-3275 · (765) 453-5696