EVOLUTION HEALTHCARE MANAGEMENT LLC
NPI 1770951980
Clinic/Center - Primary Care in Mesa, AZ
NPI Status: Active since September 03, 2015
Contact Information
7615 E BASELINE RD
SUITE 101
MESA, AZ
ZIP 85209
Phone: (480) 354-7878
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 03D2179363
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 02-20-2026
About EVOLUTION HEALTHCARE MANAGEMENT LLC
Evolution Healthcare Management Llc is a primary care provider established in Mesa, Arizona operating as a Clinic/center with a focus in primary care . The healthcare provider is registered in the NPI registry with number 1770951980 assigned on September 2015. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated April 2024. The provider's former legal business name is Evolution Management Services Company. The authorized official of this NPI record is Fawn Michelle Boonstra (President, Manager)
- NPI
- 1770951980
- Provider Legal Name
- EVOLUTION HEALTHCARE MANAGEMENT LLC
- Other Organization Name
- EVOLUTION MANAGEMENT SERVICES COMPANY
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 7615 E BASELINE RD SUITE 101 MESA, AZ 85209
- Location Phone
- (480) 354-7878
- Mailing Address
- 99 S GOLD DR STE 6 APACHE JUNCTION, AZ 85120
- Mailing Phone
- (480) 354-7878
- Mailing Fax
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 09-03-2015
- Last Update Date
- 04-12-2024
- Code Navigator
A primary care provider (PCP) like Evolution Healthcare Management Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License State
- AZ
Location Map
Secondary Locations
- 99 S Gold Dr Ste. 6
Apache Junction, AZ 85120
(620) 694-3190
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter from Arizona Complete Health
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Clear Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
Ambetter from Sunshine Health
- Complete SELECT Gold with Select Providers - HMO
- Elite SELECT Bronze with Select Providers - HMO
- Focused SELECT Silver with Select Providers - HMO
- Standard Expanded Bronze SELECT - HMO
- Standard Gold SELECT - HMO
- Standard Silver SELECT - HMO
Ambetter of Tennessee
- Standard Expanded Bronze SELECT - EPO
- Standard Gold SELECT - EPO
- Standard Silver SELECT - EPO
Imperial Insurance Companies, Inc.
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2179363
- Facility Type
- Physician Office
- Certificate Effective Date
- February 21, 2024
- Certificate Expiration Date
- February 20, 2026
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evolution Healthcare Management Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for EVOLUTION HEALTHCARE MANAGEMENT LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 9 | 5 | 1 | 9 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 18 | 5 | 2 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 8 + 5 + 2 + 9 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1770951980 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801444013 | PHYLOGENESIS FINANCIAL HOLDINGS LLC Organization | Clinic/Center (Urgent Care) | 7615 E BASELINE RD MESA, AZ 85209 (602) 206-2017 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770951980, enumerated in the NPI registry as an "organization" on September 03, 2015
The provider is located at 7615 E Baseline Rd Suite 101 Mesa, Az 85209 and the phone number is (480) 354-7878
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 03D2179363 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 03, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.