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

Q: 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.

Q: What is Patrick Evangelista's specialty?

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

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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

Phone(949) 387-4724

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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