ROME DIOSTONNE EVANGELISTA NP
NPI 1144902347
Nurse Practitioner - Psychiatric/Mental Health in Encino, CA
About Rome Diostonne Evangelista Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROME DIOSTONNE EVANGELISTA NP (NPI 1144902347) is an individual psychiatric/mental health provider in Encino, California, licensed in California (NP95026297) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Rome Diostonne 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.
Medicare Billing Reassignments
4Medicare enrollment records show Rome Diostonne Evangelista reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gardena, CA 90248
- Reassigned Medicare billing, California enrollment
- 375 clinicians in this Medicare group
Poway, CA 92064
- Reassigned Medicare billing, California enrollment
- 71 clinicians in this Medicare group
San Diego, CA 92121
- Reassigned Medicare billing, California enrollment
- 60 clinicians in this Medicare group
San Diego, CA 92121
- Reassigned Medicare billing, California enrollment
- 72 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENCINO, CA 91436
ENCINO, CA 91436
ENCINO, CA 91436
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 Rome Diostonne Evangelista's NPI number?
The NPI number for Rome Diostonne Evangelista is 1144902347. It was assigned to this individual provider in the NPPES registry on August 7, 2023.
Where is Rome Diostonne Evangelista located?
Rome Diostonne Evangelista practices at 16530 Ventura Blvd Ste 400, Encino, CA 91436. The listed phone number is (818) 625-4814.
What is Rome Diostonne Evangelista's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Rome Diostonne Evangelista enrolled in Medicare?
Yes. Rome Diostonne 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 Rome Diostonne Evangelista's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rome Diostonne Evangelista reassigns Medicare benefits to 4 organizations: Ehab Yacoub MD Inc. (Gardena, CA), Geri Connection (Poway, CA), Myndfull Care California PC (San Diego, CA) and Myndfull Care Management California PC (San Diego, CA). 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 Rome Diostonne Evangelista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rome Diostonne Evangelista accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Texas list Rome Diostonne Evangelista as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rome Diostonne Evangelista was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Rome Diostonne Evangelista, NP · NPI 1144902347
Psychiatric/Mental Health physician in Encino, California. Individual provider, active in the CMS NPPES registry since August 7, 2023.
## Identity
- **NPI:** 1144902347 (Entity type: Individual)
- **Enumerated:** August 7, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP95026297 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16530 VENTURA BLVD STE 400, Encino, CA 91436-4551
- **Phone:** (818) 625-4814
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ehab Yacoub MD Inc. (NPI 1417373713, Gardena, CA); Geri Connection (NPI 1447976907, Poway, CA); Myndfull Care California PC (NPI 1912699703, San Diego, CA); Myndfull Care Management California PC (NPI 1770206435, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 9, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1144902347) · Data from the CMS NPPES public registry.