Active NPI
Michael Winston Evans, CRNA
- Certified Registered Nurse Anesthetist
- Port Arthur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 675533
- Practice address
- 2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007 - Phone
- (409) 724-7389
- Fax
- (409) 853-5917
- NPI assigned
- Oct 22, 2007
- Last updated
- Dec 23, 2020
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 675533 | TX | Primary |
Addresses
Primary practice location
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Mailing address
755 N 11TH St
Ste P3600
Beaumont, TX 77702-1515
Phone (409) 724-7389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 236-7395
3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5002
3440 Fannin St
Beaumont, TX 77701-3803
Phone (469) 437-3564
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 675533 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Anesthesiology of Texas PLLC | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
2555 Jimmy Johnson Blvd
#O
Port Arthur, TX 77640
Phone (409) 724-7389
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Beaumont, TX
- NPI 1477078202
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Beaumont Hospital
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
dba CHRISTUS Southeast Texas - St. Elizabeth
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1689863045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 N 11TH ST",
"address_2": "STE P3600",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021515",
"telephone_number": "409-724-7389",
"fax_number": "337-433-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 JIMMY JOHNSON BLVD",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402007",
"telephone_number": "409-724-7389",
"fax_number": "409-853-5917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MICHAEL",
"middle_name": "WINSTON",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "675533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.