MRS. MARY JANE EVANGELISTA PHD,DNP,PMHNP
NPI 1720760010
Nurse Practitioner - Primary Care in Chicago, IL

Active since August 04, 2023PECOS EnrolledAccepts Medicare Assignment
3900 N PINE GROVE AVE APT 414, CHICAGO, IL 60613(131) 291-2344 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mary Jane Evangelista Phd,dnp,pmhnp NPPES

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

MRS. MARY JANE EVANGELISTA PHD,DNP,PMHNP (NPI 1720760010) is an individual primary care provider in Chicago, Illinois, licensed in Illinois (209.027735) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720760010
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. MARY JANE EVANGELISTACredential: PHD,DNP,PMHNP
Location Address3900 N PINE GROVE AVE APT 414Chicago, IL 60613-6641
Mailing Address3900 N Pine Grove Ave Apt 414Chicago, IL 60613-6641 · (131) 291-2344
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 4, 2023
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1720760010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in IL · 209.027735
3900 N PINE GROVE AVE APT 414, Chicago, IL 60613

Accepted 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

Mrs. Mary Jane Evangelista Phd,dnp,pmhnp 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 ID2163871062
PECOS Enrollment IDI20231216000242
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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
473 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
462 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
50 services31 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
44 services38 patients

Hospital Affiliations CMS Care Compare

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Mary Jane Evangelista's NPI number?

The NPI number for Mary Jane Evangelista is 1720760010. It was assigned to this individual provider in the NPPES registry on August 4, 2023.

Where is Mary Jane Evangelista located?

Mary Jane Evangelista practices at 3900 N Pine Grove Ave Apt 414, Chicago, IL 60613. The listed phone number is (131) 291-2344.

What is Mary Jane Evangelista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mary Jane Evangelista enrolled in Medicare?

Yes. Mary Jane Evangelista 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.

What insurance does Mary Jane Evangelista accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Mary Jane Evangelista 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 Mary Jane Evangelista affiliated with any hospitals?

According to CMS data, Mary Jane Evangelista is affiliated with Presence Saint Francis Hospital.

When was this NPI record last updated?

The NPPES record for Mary Jane Evangelista was last updated on September 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.