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MRS. MICHELLE EVANGELIST FNP
NPI 1295149847
Nurse Practitioner in New Hyde Park, NY

Active since June 11, 2014PECOS Enrolled
91.25/100
CMS Quality Rating
1111 MARCUS AVE STE M04, NEW HYDE PARK, NY 11042(516) 224-2800 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 20, 2022, Nov 10, 2021, Sep 14, 2021 and 1 more (4 updates tracked since 2016).

About Mrs. Michelle Evangelist Fnp NPPES

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

MRS. MICHELLE EVANGELIST FNP (NPI 1295149847) is an individual nurse practitioner in New Hyde Park, New York, licensed in New York (348822) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gloversville.

NPPES Registry Identity

NPI1295149847
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MICHELLE EVANGELISTCredential: FNP
Location Address1111 MARCUS AVE STE M04New Hyde Park, NY 11042-1034
Mailing Address1111 Marcus Ave Ste M04New Hyde Park, NY 11042-1034
Phone(516) 224-2800
Sole ProprietorNo
Enumeration DateJune 11, 2014
Last NPPES UpdateSeptember 20, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
✔ NPI 1295149847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 348822
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1111 MARCUS AVE STE M04, New Hyde Park, NY 11042
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Secondary Practice Location 1

Location 1189 2nd AveGloversville, NY 12078-2510 · Phone (518) 921-4032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Michelle Evangelist Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michelle Evangelist reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
0.6 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Brookview Medical Associates, PLLC
31 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800

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 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. BRIANNA M JONES MD
Radiology (Radiation Oncology)
1111 MARCUS AVE STE M04
NEW HYDE PARK, NY 11042
Nassau County (718) 470-7000
DANA CLARK
Obstetrics & Gynecology
1111 MARCUS AVE STE M04
NEW HYDE PARK, NY 11042
Nassau County (267) 229-1101

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 Michelle Evangelist's NPI number?

The NPI number for Michelle Evangelist is 1295149847. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Michelle Evangelist located?

Michelle Evangelist practices at 1111 Marcus Ave Ste M04, New Hyde Park, NY 11042. The listed phone number is (516) 224-2800.

What is Michelle Evangelist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michelle Evangelist enrolled in Medicare?

Yes. Michelle Evangelist is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Evangelist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Evangelist reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and Brookview Medical Associates, PLLC (Bohemia, NY). 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 Michelle Evangelist'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 Michelle Evangelist was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.