EVAH A THEODOR PMHNP-BC
NPI 1194504779
Nurse Practitioner - Psychiatric/Mental Health in Cape Coral, FL

Active since September 25, 2023PECOS EnrolledAccepts Medicare Assignment
418 SW 47TH TER, CAPE CORAL, FL 33914(239) 673-9034(239) 673-9102 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2026, Jun 17, 2025, Feb 18, 2025 (3 updates tracked since 2025).

About Evah A Theodor Pmhnp-bc NPPES

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

EVAH A THEODOR PMHNP-BC (NPI 1194504779) is an individual psychiatric/mental health provider in Cape Coral, Florida, licensed in Florida (APRN11035691) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Naples, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194504779
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEVAH A THEODORCredential: PMHNP-BC
Location Address418 SW 47TH TERCape Coral, FL 33914-6506
Mailing Address418 Sw 47th TerCape Coral, FL 33914-6506 · (239) 673-9034 · Fax (239) 673-9102
Fax(239) 673-9102
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 25, 2023
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1194504779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11035691
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9583988 (FL)
418 SW 47TH TER, Cape Coral, FL 33914

Secondary Practice Location 1

Location 12338 Immokalee Rd # 559Naples, FL 34110-1445 · Phone (239) 330-2933

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

Evah A Theodor Pmhnp-bc 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 ID2961932587
PECOS Enrollment IDI20250212001772
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

2

Medicare enrollment records show Evah Theodor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Skilled Nursing Facility
13880 SHELL POINT PLZ STE 200
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Dna Comprehensive Therapy Services LLC
  • 618 clinicians in this Medicare group
Psychiatry
6101 PINE RIDGE ROAD
Naples, FL 34119
  • Reassigned Medicare billing, Florida enrollment
  • 17 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 33914 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 8

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

Nurse Practitioner (Psychiatric/Mental Health)
418 SW 47TH TER
CAPE CORAL, FL 33914
Family Medicine
418 SW 47TH TER
CAPE CORAL, FL 33914
Social Worker (Clinical)
418 SW 47TH TER
CAPE CORAL, FL 33914
Clinic/Center (Mental Health (Including Community Mental Health Center))
418 SW 47TH TER
CAPE CORAL, FL 33914
Family Medicine
418 SW 47TH TER
CAPE CORAL, FL 33914
Marriage & Family Therapist
418 SW 47TH TER
CAPE CORAL, FL 33914
Social Worker (Clinical)
418 SW 47TH TER
CAPE CORAL, FL 33914
Clinic/Center (Primary Care)
418 SW 47TH TER
CAPE CORAL, FL 33914

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 Evah Theodor's NPI number?

The NPI number for Evah Theodor is 1194504779. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Evah Theodor located?

Evah Theodor practices at 418 SW 47th Ter, Cape Coral, FL 33914. The listed phone number is (239) 673-9034.

What is Evah Theodor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Evah Theodor enrolled in Medicare?

Yes. Evah Theodor 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 Evah Theodor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evah Theodor reassigns Medicare benefits to 2 organizations: The Christian & Missionary Alliance Foundation Inc (Fort Myers, FL) and National Psychiatry, LLC (Naples, FL). 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 Evah Theodor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evah Theodor accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Evah Theodor 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 Evah Theodor was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.