DR. EVISENCIA G MATHURIN DNP
NPI 1407472129
Nurse Practitioner - Family in Port Charlotte, FL

Q: What is Evisencia Mathurin's NPI number?

The NPI number for Evisencia Mathurin is 1407472129. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Q: What is Evisencia Mathurin's specialty?

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

Active since June 18, 2020PECOS EnrolledAccepts Medicare Assignment

2343 AARON ST, PORT CHARLOTTE, FL 33952(855) 979-5700(855) 979-5701 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 26, 2025, Feb 18, 2025, Nov 13, 2023 and 4 more (7 updates tracked since 2020).

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About Dr. Evisencia G Mathurin Dnp NPPES

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

DR. EVISENCIA G MATHURIN DNP (NPI 1407472129) is an individual family provider in Port Charlotte, Florida, licensed in Florida (APRN11007659) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1407472129

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. EVISENCIA G MATHURINCredential: DNP

Location Address2343 AARON STPort Charlotte, FL 33952-5305

Mailing Address2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328 · (877) 856-3774 · Fax (239) 599-2612

Phone(855) 979-5700

Fax(855) 979-5701

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 18, 2020

Last NPPES UpdateOctober 15, 20257 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1407472129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in FL · APRN11007659✔ Licensed in TN · 38292✔ Licensed in NM · 74729

Also ListedInternal MedicineTaxonomy 207R00000X · License 74729 (NM)

Also ListedNurse PractitionerTaxonomy 363L00000X · License AC004789 (MD)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1021018 (TX)

2343 AARON ST, Port Charlotte, FL 33952

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Secondary Practice Location 1

Location 19618 Oak Glade AveTampa, FL 33647-2985 · Phone (813) 580-9180

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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

Dr. Evisencia G Mathurin Dnp 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 ID7911398904

PECOS Enrollment IDI20211230000806, I20250408000951, I20250529003760

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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

175 services171 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236

This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Hca Florida Sarasota Doctors Hospital

Acute Care Hospitals · Sarasota, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100166

Location5731 Bee Ridge RdSarasota, FL 34233 · Sarasota County

Emergency services

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100267

Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County

Emergency services

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100359

Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County

Emergency services Birthing friendly

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450133

Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

MARIA LOURDES LAQUIAN APRN

Nurse Practitioner (Gerontology)