DR. EVISENCIA G MATHURIN DNP
NPI 1407472129
Nurse Practitioner - Family in Port Charlotte, FL
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
Specialties & Licenses 4
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
10Medicare enrollment records show Evisencia Mathurin reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Myers, FL 33912
- Reassigned Medicare billing, Florida enrollment
- 1,278 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 1,719 clinicians in this Medicare group
Gallatin, TN 37066
- Reassigned Medicare billing, Tennessee enrollment
- 195 clinicians in this Medicare group
La Plata, MD 20646
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
- 729 clinicians in this Medicare group
Largo, MD 20774
- Reassigned Medicare billing, District of Columbia enrollment
- 81 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, New Mexico enrollment
- 193 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Maryland and Texas enrollments
- 227 clinicians in this Medicare group
Midland, TX 79701
- Reassigned Medicare billing, Texas enrollment
- 56 clinicians in this Medicare group
Las Vegas, NM 87701
- Reassigned Medicare billing, New Mexico enrollment
- 25 clinicians in this Medicare group
Scottsdale, AZ 85254
- Reassigned Medicare billing, North Carolina enrollment
- 278 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 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sarasota Memorial Hospital
Acute Care Hospitals · Sarasota, FLHca Florida Sarasota Doctors Hospital
Acute Care Hospitals · Sarasota, FLHca Florida Englewood Hospital
Acute Care Hospitals · Englewood, FLSarasota Memorial Hospital - Venice
Acute Care Hospitals · North Venice, FLPhysician 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.
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.
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 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.
Where is Evisencia Mathurin located?
Evisencia Mathurin practices at 2343 Aaron St, Port Charlotte, FL 33952. The listed phone number is (855) 979-5700.
What is Evisencia Mathurin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Evisencia Mathurin enrolled in Medicare?
Yes. Evisencia Mathurin 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 Evisencia Mathurin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evisencia Mathurin reassigns Medicare benefits to 10 organizations: Millennium Physician Group LLC (Fort Myers, FL), Florida Hospital Physician Group Inc (Tampa, FL), Anova Medical Associates, Plc (Gallatin, TN), Emergency Medicine Associates PA PC (La Plata, MD), Adfinitas Health At Umcap, LLC (Largo, MD) and 5 more organizations, listed in the Medicare section above. 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 Evisencia Mathurin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evisencia Mathurin accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Evisencia Mathurin 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.
Is Evisencia Mathurin affiliated with any hospitals?
According to CMS data, Evisencia Mathurin is affiliated with Sarasota Memorial Hospital, Hca Florida Sarasota Doctors Hospital, Hca Florida Englewood Hospital and Sarasota Memorial Hospital - Venice.
When was this NPI record last updated?
The NPPES record for Evisencia Mathurin was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Evisencia G Mathurin, DNP · NPI 1407472129
Family physician in Port Charlotte, Florida. Individual provider, active in the CMS NPPES registry since June 18, 2020.
## Identity
- **NPI:** 1407472129 (Entity type: Individual)
- **Enumerated:** June 18, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11007659 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2343 AARON ST, Port Charlotte, FL 33952-5305
- **Phone:** (855) 979-5700 · **Fax:** (855) 979-5701
## 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:** 10 organizations under Medicare reassignment (form CMS-855R): Millennium Physician Group LLC (NPI 1811122880, Fort Myers, FL); Florida Hospital Physician Group Inc (NPI 1174955256, Tampa, FL); Anova Medical Associates, Plc (NPI 1659849537, Gallatin, TN); Emergency Medicine Associates PA PC (NPI 1245195544, La Plata, MD); Adfinitas Health At Umcap, LLC (NPI 1205585940, Largo, MD); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407472129) · Data from the CMS NPPES public registry.