MARY K EVANGELISTA FNP
NPI 1881114767
Nurse Practitioner - Family in East Chicago, IN
About Mary K Evangelista Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY K EVANGELISTA FNP (NPI 1881114767) is an individual family provider in East Chicago, Indiana, licensed in Indiana (71007197A) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary K Evangelista Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Mary Evangelista reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gary, IN 46402
- Reassigned Medicare billing, Indiana enrollment
- 201 clinicians in this Medicare group
Hammond, IN 46320
- Reassigned Medicare billing, Indiana enrollment
- 15 clinicians in this Medicare group
Alsip, IL 60803
- Reassigned Medicare billing, Illinois enrollment
- 66 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
EAST CHICAGO, IN 46312
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 Evangelista's NPI number?
The NPI number for Mary Evangelista is 1881114767. It was assigned to this individual provider in the NPPES registry on June 22, 2017. The provider is also known as Mary K Anderson Fnp.
Where is Mary Evangelista located?
Mary Evangelista practices at 4321 Fir St, East Chicago, IN 46312. The listed phone number is (219) 765-0597.
What is Mary Evangelista's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Evangelista enrolled in Medicare?
Yes. Mary Evangelista is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mary Evangelista's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Evangelista reassigns Medicare benefits to 3 organizations: The Methodist Hospitals, Inc (Gary, IN), Premise Health Of Indiana Medical PC (Hammond, IN) and Premise Health Of Illinois Medical PC (Alsip, IL). 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 Mary Evangelista'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 Mary Evangelista was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mary K Evangelista, FNP · NPI 1881114767
Family physician in East Chicago, Indiana. Individual provider, active in the CMS NPPES registry since June 22, 2017.
## Identity
- **NPI:** 1881114767 (Entity type: Individual)
- **Enumerated:** June 22, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71007197A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4321 FIR ST, East Chicago, IN 46312-3049
- **Phone:** (219) 765-0597
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Methodist Hospitals, Inc (NPI 1326614991, Gary, IN); Premise Health Of Indiana Medical PC (NPI 1124796834, Hammond, IN); Premise Health Of Illinois Medical PC (NPI 1184362527, Alsip, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1881114767) · Data from the CMS NPPES public registry.