MARIA LOURDES EVANGELISTA CRNP-FAMILY
NPI 1275164139
Nurse Practitioner - Family in Dundalk, MD

Q: What is Maria Evangelista's NPI number?

The NPI number for Maria Evangelista is 1275164139. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Q: What is Maria Evangelista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Evangelista was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment

80.18/100

CMS Quality Rating

1576 MERRITT BLVD STE 18, DUNDALK, MD 21222(855) 527-7246(866) 229-5063 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 30, 2022, Feb 9, 2022, Jan 30, 2020 (3 updates tracked since 2020).

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About Maria Lourdes Evangelista Crnp-family NPPES

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

MARIA LOURDES EVANGELISTA CRNP-FAMILY (NPI 1275164139) is an individual family provider in Dundalk, Maryland, licensed in Maryland (R172336) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1275164139

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIA LOURDES EVANGELISTACredential: CRNP-FAMILY

Location Address1576 MERRITT BLVD STE 18Dundalk, MD 21222-2132

Mailing Address5728 Fieldcrest DrWhite Marsh, MD 21162-1143 · (410) 256-0373

Phone(855) 527-7246

Fax(866) 229-5063

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 30, 2020

Last NPPES UpdateNovember 30, 20223 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1275164139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R172336

1576 MERRITT BLVD STE 18, Dundalk, MD 21222

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Other Identifiers 1

Medicaid0804MD

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

Maria Lourdes Evangelista Crnp-family 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 ID6305230202

PECOS Enrollment IDI20220217002924

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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

330 services115 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

125 services116 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21222 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.51

Promoting Interoperability

Improvement Activities

Cost

39.11

Other Providers at the Same Location NPPES 9

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

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