Evan Wayne Easley, MD
Individual provider Active NPI Internal Medicine Physician · Gardnerville, NV
NPI 1851397459 · NPPES record last updated Jul 28, 2010
Key facts
- NPI
- 1851397459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 7446 (NV)
- Practice address
- 1520 Virginia Ranch Rd
Gardnerville, NV 89410-5731 - Phone
- (775) 782-1550
- Fax
- (775) 782-1513
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Loma Linda University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carson Valley Medical Center Rural Health Clinic
Practice addresses (Care Compare)
1520 Virginia Ranch Rd
Gardnerville, NV 89410-5731
Phone (775) 782-1550
Hospital & facility affiliations
- Centerwell Home Health
- Eden Home Health
- Mission Home Health of Carson City
- Battle Born Home Health LLC
- Carson Valley Health
- Carson Tahoe Regional Medical Center
- Renown Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.42 of 100
- Quality
- 93.48
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040607000864 | NV | Practitioner - Internal Medicine | 6103808886 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Current |
Accepting new patients | |
| Carson Valley Medical Center Rural Health Clinic | Internal Medicine | Current |
Accepting new patients |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Current |
Accepting new patients | |
| Barton Healthcare System | Past | Accepting new patients | |
| Sparks Family Hospital Inc | Past | Accepting new patients | |
| Prime Healthcare Services - Reno LLC | Past | Accepting new patients | |
| Mt Grant General Hospital | Past | Accepting new patients |
Locations
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
1520 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 782-1550
1516 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 783-3020
1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595
Interoperability endpoints
- eeasley65196@direct.renown.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7446 | NV | Yes |
Addresses
Primary practice location
1520 Virginia Ranch Rd
Gardnerville, NV 89410-5731
Mailing address
1520 Virginia Ranch Rd
Gardnerville, NV 89410-5731
Phone (775) 782-1550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002003024 | Medicaid | NV |
Other providers in Gardnerville, NV
- Richard J Dragon
- Stuart Sumner Drange
- Dorothy Lee Draper
- Casey Danelle Driscoll
- Evelia Marie Duncan
- Laure Jean Ebel
- Edge Medical Services
- David Wayne Edge
- Alice Eide-Mason
- Michael Lewis Elterman
All providers in Gardnerville, NV · Internal Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.