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

John Evenocheck

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417511270

John Evenocheck is a Family Practice in Baxter, Minnesota. Qualified in 2019, 7 years ago. Practices with St Josephs Medical Center, a 240-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

13060 Isle Dr
Baxter, MN 56425-8331
Phone: (188) 282-8802
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 69227 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417511270
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2019
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022
Mailing address1702 University Dr S, Fargo, ND 58103-4940

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Josephs Medical Center — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Baxter