Active NPI
Mike Bevers
- Physician Assistant
- Rehoboth Beach, DE
National Provider Identifier
1508899485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C5-0000987
- Practice address
- 18947 John Willms Hwy
Rehoboth Beach, DE 19971-4474 - Phone
- (302) 703-6585
- NPI assigned
- Jul 7, 2006
- Last updated
- Oct 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0000987 | DE | Primary |
Addresses
Primary practice location
18947 John Willms Hwy
Rehoboth Beach, DE 19971-4474
Mailing address
2016 Gilpin Ave
Wilmington, DE 19806-2214
Other names 1
- Mr. Mike Jesse Bevers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.55 of 100
- Quality
- 85.31
- Improvement activities
- 40
- Cost
- 71.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0000987 | DE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Ears Nose and Throat LLC | Past | Accepting new patients | |
| Delaware Center for Digestive Care LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1508899485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 GILPIN AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198062214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18947 JOHN WILLMS HWY",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199714474",
"telephone_number": "302-703-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERS",
"first_name": "MIKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0000987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKE",
"last_name": "BEVERS",
"middle_name": "JESSE",
"prefix": "MR.",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.