PATRICK LUMBRERA EVANGELISTA NP
NPI 1104675065
Nurse Practitioner - Acute Care in Irvine, CA

Active since May 14, 2024PECOS EnrolledAccepts Medicare Assignment
1400 REYNOLDS AVE STE 110, IRVINE, CA 92614(949) 387-4724(949) 209-0407 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2025, May 14, 2024 (2 updates tracked since 2024).

About Patrick Lumbrera Evangelista Np NPPES

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

PATRICK LUMBRERA EVANGELISTA NP (NPI 1104675065) is an individual acute care provider in Irvine, California, licensed in California (95030350) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104675065
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NamePATRICK LUMBRERA EVANGELISTACredential: NP
Location Address1400 REYNOLDS AVE STE 110Irvine, CA 92614-5562
Mailing Address27312 OsunaMission Viejo, CA 92691-1016 · (347) 255-1951
Fax(949) 209-0407
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 14, 2024
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1104675065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95030350
1400 REYNOLDS AVE STE 110, Irvine, CA 92614

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patrick Lumbrera Evangelista Np 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 ID941737621
PECOS Enrollment IDI20241218004225
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.

Medicare Billing Reassignments

12

Medicare enrollment records show Patrick Evangelista reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sleep Disorder Diagnostic
13522 NEWPORT AVE, SUITE 102
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Chest And Critical Care Consultants A Medical Group
  • 96 clinicians in this Medicare group
Surgery
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 180 clinicians in this Medicare group
Anesthesiology
101 THE CITY DR SOUTH
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 420 clinicians in this Medicare group
Family Medicine
1100 E ORANGETHORPE AVE STE 200X
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
Surgery
3191 W TEMPLE AVE STE 110
Pomona, CA 91768
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
Surgery
24328 VERMONT AVE STE 300L
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
Primary Care
5015 EAGLE ROCK BLVD STE 205
Los Angeles, CA 90041
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
Primary Care
17337 VENTURA BLVD STE 220
Encino, CA 91316
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
Wound Care
17337 VENTURA BLVD STE 220
Encino, CA 91316
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
Surgery
3750 S JONES BLVD STE 120
Las Vegas, NV 89103
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92614 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 6

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

Radiology (Vascular & Interventional Radiology)
1400 REYNOLDS AVE STE 110
IRVINE, CA 92614
Radiology (Vascular & Interventional Radiology)
1400 REYNOLDS AVE STE 110
IRVINE, CA 92614
Radiology (Diagnostic Ultrasound)
1400 REYNOLDS AVE STE 110
IRVINE, CA 92614
Radiology (Vascular & Interventional Radiology)
1400 REYNOLDS AVE STE 110
IRVINE, CA 92614
Dentist (General Practice)
1400 REYNOLDS AVE STE 110
IRVINE, CA 92614
Radiology (Vascular & Interventional Radiology)
1400 REYNOLDS AVE STE 110
IRVINE, CA 92614

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 Patrick Evangelista's NPI number?

The NPI number for Patrick Evangelista is 1104675065. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Patrick Evangelista located?

Patrick Evangelista practices at 1400 Reynolds Ave Ste 110, Irvine, CA 92614. The listed phone number is (949) 387-4724.

What is Patrick Evangelista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Patrick Evangelista enrolled in Medicare?

Yes. Patrick Evangelista 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.

Which organizations bill Medicare for Patrick Evangelista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Evangelista reassigns Medicare benefits to 12 organizations: Chest And Critical Care Consultants (Tustin, CA), University Surgeons Of Orange A Medical Group (Orange, CA), Regents Of The University Of (Orange, CA), Wound Care First Corp (Anaheim, CA), Professional Wound Specialists PC (Pomona, CA) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Evangelista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patrick Evangelista was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.