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

Glenn Michael Evans, RN/SRNA

Individual provider Registered Nurse · NPI 1982294237

Glenn Michael Evans, RN/SRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kingsport, Tennessee. Qualified in 2021, 5 years ago. Practices with University Anesthesiologists, PLLC, a 150-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 224-4000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 30283 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 220234 (TN)

Record details

NPI number1982294237
Entity typeIndividual (Type 1)
GenderMale
Credentials RN/SRNA
Sole proprietorNo
NPI enumeratedJanuary 21, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address902 Broad St Apt 6, Kingsport, TN 37660-3815

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Anesthesiologists, Pllc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingsport