Active NPI
Evan Brian Whipple, CRNA
- Certified Registered Nurse Anesthetist
- Andrews, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1133465
- 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
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 | 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, ID
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1133465 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Enterprise Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Critical Access Hospital
- Soda Springs, ID
- NPI 1942970272
-
- Certified Registered Nurse Anesthetist
- Abilene, TX
- NPI 1528178019
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
- NPI 1255877551
Nurse Anesthetist, Certified Registered
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.