EVOLUTION HEALTHCARE MANAGEMENT LLC
NPI 1770951980
Clinic/Center - Primary Care in Mesa, AZ

Q: What is Evolution Healthcare Management LLC's NPI number?

The NPI number for Evolution Healthcare Management LLC is 1770951980. It was assigned to this organization in the NPPES registry on September 3, 2015. The provider was formerly known as Evolution Management Services Company.

Q: What is Evolution Healthcare Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 03, 2015CLIA 03D2179363 · Waiver

7615 E BASELINE RD, SUITE 101, MESA, AZ 85209(480) 354-7878 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2025, Apr 12, 2024, Jun 29, 2020 and 4 more (7 updates tracked since 2016).

On this page

About Evolution Healthcare Management Llc NPPES

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

EVOLUTION HEALTHCARE MANAGEMENT LLC (NPI 1770951980), doing business as Evolution Management Services Company, is a healthcare organization registered as a primary care in Mesa, Arizona and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through February 20, 2028, maintains a secondary practice location in Apache Junction, and lists Fawn Michelle Boonstra, President, Manager, as its authorized official.

NPPES Registry Identity

NPI1770951980

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameEVOLUTION HEALTHCARE MANAGEMENT LLC

Location Address7615 E BASELINE RD, SUITE 101Mesa, AZ 85209-8520

Mailing Address99 S Gold Dr Ste 6Apache Junction, AZ 85120-5036 · (480) 354-7878 · Fax (949) 577-4159

Phone(480) 354-7878

Organization SubpartNo

Authorized OfficialFawn Michelle BoonstraPresident, Manager · (480) 286-7907

Enumeration DateSeptember 3, 2015

Last NPPES UpdateSeptember 12, 20257 updates tracked since enumeration

NPPES CertifiedApril 12, 2024

✔ NPI 1770951980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Other Names 1

Former Legal Business NameEvolution Management Services Company

Secondary Practice Location 1

Location 199 S Gold Dr, Ste. 6Apache Junction, AZ 85120-5035 · Phone (620) 694-3190 · Fax (480) 962-0202

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2179363

Evolution Healthcare Management LLC · Mesa, AZ

Active · expires Feb 20, 2028

CLIA Number03D2179363

Laboratory TypePhysician Office

Certificate Effective DateFebruary 21, 2026

Certificate Expiration DateFebruary 20, 2028

Laboratory DirectorShiny S. Thomas

Laboratory Phone(480) 354-7878

Laboratory LocationEvolution Healthcare Management LLC7615 E Baseline Rd Ste 101, Mesa, AZ 85209

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PHYLOGENESIS FINANCIAL HOLDINGS LLC

Clinic/Center (Urgent Care)

7615 E BASELINE RD
MESA, AZ 85209

Maricopa County (602) 206-2017

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 Evolution Healthcare Management LLC's NPI number?

The NPI number for Evolution Healthcare Management LLC is 1770951980. It was assigned to this organization in the NPPES registry on September 3, 2015. The provider was formerly known as Evolution Management Services Company.

Where is Evolution Healthcare Management LLC located?

Evolution Healthcare Management LLC is located at 7615 E Baseline Rd Suite 101, Mesa, AZ 85209. The listed phone number is (480) 354-7878.

What is Evolution Healthcare Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Evolution Healthcare Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2179363) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evolution Healthcare Management LLC accept?

Health plans from Ambetter from Arizona Complete Health list Evolution Healthcare Management LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evolution Healthcare Management LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.