Individual provider Active NPI

Evan Brian Whipple, CRNA

  • Certified Registered Nurse Anesthetist
  • Andrews, TX
National Provider Identifier
1699306977
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1133465 Issued in TX
Practice address
720 Hospital Dr
Andrews, TX 79714-3617
Phone
(325) 675-6466
Fax
(325) 692-6030
NPI assigned
Jan 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1133465 TX Primary

Addresses

Primary practice location

720 Hospital Dr
Andrews, TX 79714-3617

Mailing address

3301 S 14TH St Ste 16180
Abilene, TX 79605-5015
Phone (325) 675-6466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231110001762 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799112900 Reassigns benefits to 1 organization
I20260326001789 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799112900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caribou Medical Center, IncGroup PAC ID 7618365701, 35 clinicians

Practice addresses (Care Compare)

300 S 3Rd
Soda Springs, ID 83276-1559
Phone 20854733417503

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
79.73
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1133465TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc Current Accepting new patients
Enterprise Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 3, 2023 Accepting new patients
Virtue Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

2120 Antilley Rd
Abilene, TX 79606
Phone (325) 695-2020

3301 S 14th St
#16180
Abilene, TX 79605

5601 Health Center Dr
Abilene, TX 79606
Phone (325) 690-4460

3301 S 14th St
Ste 16180
Abilene, TX 79605

720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1699306977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S 14TH ST STE 16180",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796055015",
            "telephone_number": "325-675-6466",
            "fax_number": "325-692-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143617",
            "telephone_number": "325-675-6466",
            "fax_number": "325-692-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "EVAN",
        "middle_name": "BRIAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1133465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andrews, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.

Verify at the official NPI Registry.