Elizabeth Marie C Evans, ADULT NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R30250 Issued in NM

Practice address

3821 Masthead St NE
Albuquerque, NM 87109-4679

Phone

(505) 998-7400

Fax

(505) 998-7741

NPI assigned

Mar 25, 2006

Last updated

Mar 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renal Medicine Associates LTD.Group PAC ID 1052217585, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eevans32553@direct.acumenmd.com
• Direct secure messaging: eevans7881@ahs.direct-ci.com

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.

• Renal Medicine Associates LTD.

  dba Renal Medicine Associates

  • Specialist
  • Albuquerque, NM
  • NPI 1356347439
  Medicare reassignment Care Compare group NPD
• House Calls of New Mexico LLC

  • Specialist
  • Albuquerque, NM
  • NPI 1194779322
  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment NPD
• Sage Specialty Care, Inc

  • Clinic/Center
  • Albuquerque, NM
  • NPI 1629495494
  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1750341426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094679",
            "telephone_number": "505-998-7400",
            "fax_number": "505-998-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094679",
            "telephone_number": "505-998-7400",
            "fax_number": "505-998-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE C",
        "credential": "ADULT NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "R30250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43587038",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celia Evans
• Cyd Evans, P.T.
• Daniel Adrian Evans, M.D.
• David Evans
• Destiny Evans
• Gage Warren Evans
• Janice E. Evans, M.D.
• Jillian Evans, LMHC, ATR-BC
• Kyus Evans
• Ladonna Evans

• Adult Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adult Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.