Evolution Healthcare Management LLC
NPI 1770951980 · Primary Care Clinic/Center · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evolution Healthcare Management LLC is a Primary Care Clinic/Center organization in Mesa, AZ (NPI 1770951980).
Provider details
- NPI number
- 1770951980
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Fawn Boonstra, President, Manager(480) 286-7907
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Evolution Management Services Company
Additional practice locations (1)
- 99 S Gold DrSte. 6Apache Junction, AZ 85120-5035Phone: (620) 694-3190Fax: (480) 962-0202
Registry dates
- Enumerated
- 2015-09-03
- Last updated
- 2025-09-12
- Certified
- 2024-04-12
Frequently asked questions
- What is Evolution Healthcare Management LLC's NPI number?
- Evolution Healthcare Management LLC's National Provider Identifier (NPI) is 1770951980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evolution Healthcare Management LLC?
- Evolution Healthcare Management LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Evolution Healthcare Management LLC located?
- Evolution Healthcare Management LLC's practice location on file with NPPES is 7615 E Baseline Rd, Mesa, AZ 85209-8520.
- What is Evolution Healthcare Management LLC's phone number?
- The practice phone number listed in the NPPES registry for Evolution Healthcare Management LLC is (480) 354-7878.
- Does Evolution Healthcare Management LLC accept Medicare?
- Evolution Healthcare Management LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evolution Healthcare Management LLC?
- The authorized official listed on Evolution Healthcare Management LLC's NPPES record is Fawn Boonstra, President, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evolution Healthcare Management LLC's NPI active?
- Yes — Evolution Healthcare Management LLC's NPI (1770951980) is active in the NPPES registry as of the last update on 2025-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.