TERESA CLAIRE EVAN
NPI 1124422597
Nurse Practitioner - Family in Portales, NM

Q: What is Teresa Evan's NPI number?

The NPI number for Teresa Evan is 1124422597. It was assigned to this individual provider in the NPPES registry on October 14, 2014.

Q: What is Teresa Evan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Evan was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2014PECOS Enrolled

1515 W FIR ST, PORTALES, NM 88130(575) 356-6695(575) 356-5948 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 1, 2018, Oct 4, 2018 (2 updates tracked since 2018).

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About Teresa Claire Evan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA CLAIRE EVAN (NPI 1124422597) is an individual family provider in Portales, New Mexico, licensed in New Mexico (53252) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124422597

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERESA CLAIRE EVAN

Location Address1515 W FIR STPortales, NM 88130-5703

Mailing Address1515 W Fir StPortales, NM 88130-5703 · (575) 359-3820 · Fax (575) 346-5948

Phone(575) 356-6695

Fax(575) 356-5948

Sole ProprietorNo

Enumeration DateOctober 14, 2014

Last NPPES UpdateNovember 1, 20182 updates tracked since enumeration

✔ NPI 1124422597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NM · 53252✔ Licensed in TX · AP126422

1515 W FIR ST, Portales, NM 88130

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Secondary Practice Locations 2

Location 1801 Encino Pl NE Ste C14Albuquerque, NM 87102-2643 · Phone (505) 272-1777

Location 22323 Texas StPecos, TX 79772-7338 · Phone (432) 447-3551 · Fax (432) 447-5434

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Claire Evan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE LE DMD

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