Individual provider Active NPI

Patrick Evans, PA

  • Physician Assistant
  • Pflugerville, TX
National Provider Identifier
1629547484
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12524 Issued in TX
Practice address
1601 E Pflugerville Pkwy Ste 1102
Pflugerville, TX 78660-6148
Phone
(512) 252-3700
NPI assigned
Nov 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12524 TX Primary

Addresses

Primary practice location

1601 E Pflugerville Pkwy Ste 1102
Pflugerville, TX 78660-6148

Mailing address

PO Box 746768
Atlanta, GA 30374-6768
Phone (512) 359-7546

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
I20190401000658 TX Practitioner - Physician Assistant 7719228733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanova Dermatology PLLCGroup PAC ID 8527235340, 15 clinicians

Practice addresses (Care Compare)

12319 N Mopac Expressway
Suite 100
Austin, TX 78758-2403
Phone (512) 837-3376

1601 E Pflugerville Pkwy
Suite 1102
Pflugerville, TX 78660-6148
Phone (512) 252-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1629547484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746768",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746768",
            "telephone_number": "512-359-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E PFLUGERVILLE PKWY STE 1102",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606148",
            "telephone_number": "512-252-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PATRICK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.