NPIMap

Individual provider Active NPI

Rawley C Evans, NP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1164049938
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP243249 Issued in AZ
Practice address
6377 E Tanque Verde Rd Ste 101
Tucson, AZ 85715-3839
Phone
(520) 296-5500
NPI assigned
Jun 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP243249 AZ Primary

Addresses

Primary practice location

6377 E Tanque Verde Rd Ste 101
Tucson, AZ 85715-3839

Mailing address

6377 E Tanque Verde Rd Ste 101
Tucson, AZ 85715-3839
Phone (520) 296-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200911000283 AZ Practitioner - Nurse Practitioner 4082032834 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

Hospital & facility affiliations

  • Banner-University Medical Center South Campus Hospital, Tucson, AZ, CCN 030111
  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP243249AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bisbee Hospital Association CurrentSince Jun 1, 2023 Accepting new patients
Azendo LLC CurrentSince Aug 29, 2021 Accepting new patients
Arizona Endovascular Center PLLC CurrentSince Sep 1, 2020 Accepting new patients
Banner-University Medical Group Family Medicine Current Accepting new patients
Banner-University Medical Group CurrentSince Jun 17, 2024 Accepting new patients
Bisbee Hospital Association CurrentSince Jun 1, 2023 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
Banner-University Medical Group CurrentSince Jun 17, 2024 Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

6377 E Tanque Verde Rd
Ste 101
Tucson, AZ 85715
Phone (520) 372-2287

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1625 N Campbell Ave
Tucson, AZ 85719

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61209

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1164049938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6377 E TANQUE VERDE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153839",
            "telephone_number": "520-296-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6377 E TANQUE VERDE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153839",
            "telephone_number": "520-296-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RAWLEY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "CNP243249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.