NPIMap

Individual provider Active NPI

Patrick Joseph Evans, MD

  • Family Medicine Physician
  • Minot, ND
National Provider Identifier
1285688226
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7765 Issued in ND
Practice address
1201 11TH Ave SW
Minot, ND 58701-4207
Phone
(701) 858-6700
Fax
(701) 858-6811
NPI assigned
May 22, 2006
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000035732 TN
Family Medicine Physician 207Q00000X 7765 ND Primary

Addresses

Primary practice location

1201 11TH Ave SW
Minot, ND 58701-4207

Mailing address

1201 11TH Ave SW
Minot, ND 58701-4207
Phone (701) 858-6700

Other identifiers 1

IdentifierTypeStateIssuer
10362MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20070717000425 ND Practitioner - Family Practice 5496754715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North DakotaGroup PAC ID 2961395934, 29 clinicians

Practice addresses (Care Compare)

1201 11TH Ave SW
Minot, ND 58701-4207
Phone (701) 858-6778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
65.82
Promoting interoperability
100
Improvement activities
40
Cost
82.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7765NDMDFamily Medicine Physician
MD0000035732TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Dakota Family Medicine CurrentSince Apr 18, 2016 Accepting new patients
University of North Dakota Family Medicine Current Accepting new patients
University of North Dakota CurrentSince Apr 18, 2016 Accepting new patients
Trinity Homes Past Accepting new patients
Cherokee Health Systems Family Medicine Past Accepting new patients
University of North Dakota Center for Sports Medicine Past Accepting new patients
Trinity Hospitals Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1201 11th Ave SW
Minot, ND 58701
Phone (701) 858-6700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1285688226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014207",
            "telephone_number": "701-858-6700",
            "fax_number": "701-858-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014207",
            "telephone_number": "701-858-6700",
            "fax_number": "701-858-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000035732",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "7765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10362",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.