Teresa Claire Evan, - Medicare Nurse Practitioner in Portales, NM

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Teresa Claire Evan, is a medicare enrolled "Nurse Practitioner - Family" in Portales, New Mexico. Her current practice location is 1515 W Fir St, Portales, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 356-6695.

Teresa Claire Evan is licensed to practice in New Mexico (license number 53252) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124422597.

Contact Information

Teresa Claire Evan,
1515 W Fir St,
Portales, NM 88130-5703
(575) 356-6695
(575) 356-5948

Map and Direction




Provider's Profile

Full NameTeresa Claire Evan
GenderFemale
SpecialityNurse Practitioner - Family
Location1515 W Fir St, Portales, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124422597
  • Provider Enumeration Date: 10/14/2014
  • Last Update Date: 11/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2860719804
  • Enrollment ID: I20240411003138

Medical Identifiers

Medical identifiers for Teresa Claire Evan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124422597NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP126422 (Texas)Secondary
363LF0000XNurse Practitioner - Family 53252 (New Mexico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Teresa Claire Evan allows following entities to bill medicare on her behalf.
Entity NameReeves County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447417209
PECOS PAC ID: 2567353469
Enrollment ID: O20040503001121
Entity NameOmaha Tribe Of Nebraska
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871977918
PECOS PAC ID: 7315467560
Enrollment ID: O20250219000691

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teresa Claire Evan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Teresa Claire Evan,
1515 W Fir St,
Portales, NM 88130-5703

Ph: (575) 359-3820		Teresa Claire Evan,
1515 W Fir St,
Portales, NM 88130-5703

Ph: (575) 356-6695

Reviews and Comments


Nurse Practitioner Nurses in Portales, NM

Mrs. Shanna Lee Campbell, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 42121 Us Highway 70, Portales, NM 88130
Phone: 575-356-6652    
Lindsay Young, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 42121 Us Highway 70, Portales, NM 88130
Phone: 575-356-6652    Fax: 575-359-6827
Kerri Renee Self, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 405 W 4th St, Portales, NM 88130
Phone: 575-226-3898    Fax: 575-226-3890
Eva F Toelle, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 42121 Us Hwy 70, Portales, NM 88130
Phone: 575-356-6652    Fax: 575-359-6827
Sylvia Anne Rife, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 42121 Us Hwy 70, Portales, NM 88130
Phone: 575-356-6652    Fax: 575-226-0099
Mrs. Johanna Christine Pettrey, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1515 W Fir St, Portales, NM 88130
Phone: 575-356-6695    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.