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

Active since October 14, 2014PECOS EnrolledAccepts Medicare Assignment
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 09, 2026.

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

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, maintains 2 additional practice locations, and is a graduate of Other (2014).

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
Medical School CMSOtherGraduated 2014
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
Open in Google Maps ↗

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 and accepts Medicare assignment

Teresa Claire Evan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860719804
PECOS Enrollment IDI20240411003138
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
Dentist
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
MRS. JOHANNA CHRISTINE PETTREY FNP-BC
Nurse Practitioner (Family)
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
JONATHAN REDD
Nurse Practitioner (Family)
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
MS. MICHELLE LYNN HAWKINS ANP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
LA CASA DE BUENA SALUD INC
Local Education Agency (LEA)
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
GUADALUPE M KENNEDY CFNP
Nurse Practitioner
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
DR. BHARGAV CHOWDARY PALETI MD
Internal Medicine
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695
DR. GIDDEL G A THOM MD
Pediatrics (Pediatric Hematology-Oncology)
1515 W FIR ST
PORTALES, NM 88130
Roosevelt County (575) 356-6695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Teresa Evan located?

Teresa Evan practices at 1515 W Fir St, Portales, NM 88130. The listed phone number is (575) 356-6695.

What is Teresa Evan's specialty?

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

Is Teresa Evan enrolled in Medicare?

Yes. Teresa Evan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.