Individual provider Active NPI

Michael Taylor Evett, PA-C

  • Physician Assistant
  • Las Cruces, NM
National Provider Identifier
1851891659
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
150 N Roadrunner Pkwy
Las Cruces, NM 88011
Phone
(575) 556-6440
Fax
(575) 556-6445
NPI assigned
Feb 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

150 N Roadrunner Pkwy
Las Cruces, NM 88011

Mailing address

11001 Callanish Park Dr
Austin, TX 78750-3600
Phone (678) 276-5019

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180522001148 NM Practitioner - Physician Assistant 8224393210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 N Roadrunner Pkwy
Las Cruces, NM 88011-7044
Phone (575) 556-6440

2450 S Telshor Blvd
Las Cruces, NM 88011-5069

4351 E Lohman Ave
Suite 200
Las Cruces, NM 88011-8260
Phone (505) 532-9755

4351 E Lohman Ave
Suite 403
Las Cruces, NM 88011-8261
Phone (575) 522-6806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC CurrentSince May 1, 2018 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince May 1, 2018 Accepting new patients
Las Cruces Physician Practices, LLC Physician Assistant Past Accepting new patients

Locations

150 N Roadrunner Pkwy
Las Cruces, NM 88011
Phone (505) 521-5900

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

Interoperability endpoints

  • Direct secure messaging: michael.evett.1@19849.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1851891659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 CALLANISH PARK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503600",
            "telephone_number": "678-276-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROADRUNNER PKWY",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-556-6440",
            "fax_number": "575-556-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVETT",
        "first_name": "MICHAEL",
        "middle_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.