Individual provider Active NPI

Curtis Evans, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Woodville, TX
National Provider Identifier
1285004366
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129084 Issued in TX
Practice address
703 W Bluff St
Woodville, TX 75979
Phone
(409) 200-2811
Fax
(409) 200-2856
NPI assigned
Oct 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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 AP129084 TX Primary

Addresses

Primary practice location

703 W Bluff St
Woodville, TX 75979

Mailing address

703 W Bluff St
Woodville, TX 75979
Phone (409) 200-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218002101 TX Practitioner - Nurse Practitioner 3072818665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dmctx1, PLLCGroup PAC ID 1052650249, 4 clinicians

Practice addresses (Care Compare)

703 W Bluff St
Woodville, TX 75979-5131
Phone (409) 200-2811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP129084TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Health Solutions, PLLC CurrentSince Feb 11, 2017 Accepting new patients
Dmctx1, PLLC CurrentSince Feb 1, 2019 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Camino Real Emergency Physicians PLLC Past Accepting new patients

Locations

2132 S 1st St
Lufkin, TX 75901
Phone (936) 634-3627

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDBED/Endpoint/CCDBED

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1285004366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "75979",
            "telephone_number": "409-200-2811",
            "fax_number": "409-200-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "75979",
            "telephone_number": "409-200-2811",
            "fax_number": "409-200-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CURTIS",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, TX

Sources for this page

Verify at the official NPI Registry.