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WAYNE N EVANCHO DO PA
NPI 1902066368
Family Medicine in North Miami Beach, FL

Active since June 10, 2008
1380 NE MIAMI GARDENS DR, SUITE 285, NORTH MIAMI BEACH, FL 33179(305) 944-8777(305) 944-3006 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wayne N Evancho Do Pa NPPES

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

WAYNE N EVANCHO DO PA (NPI 1902066368) is a healthcare organization registered as a family medicine in North Miami Beach, Florida and active in the NPI registry since June 2008. The organization lists Wayne Evancho, Owner, as its authorized official.

NPPES Registry Identity

NPI1902066368
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAYNE N EVANCHO DO PA
Location Address1380 NE MIAMI GARDENS DR, SUITE 285North Miami Beach, FL 33179-4707
Mailing Address5811 Castlegate AveDavie, FL 33331-3236 · (305) 944-8777 · Fax (305) 944-3006
Phone(305) 944-8777
Fax(305) 944-3006
Organization SubpartNo
Authorized OfficialWayne EvanchoOwner · (305) 944-8777
Enumeration DateJune 10, 2008
✔ NPI 1902066368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1380 NE MIAMI GARDENS DR, North Miami Beach, FL 33179
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne N Evancho Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Wayne N Evancho Do PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Svetlana Polyak, FNP-BC
Nurse Practitioner
NPI 1164871745
1380 NE MIAMI GARDENS DR SUITE 285
Miami, FL 33179
(305) 944-8777
✔ PECOS✔ Accepts MedicareSame address
Judith Bruno, APRN
Nurse Practitioner
NPI 1205602901
1380 NE MIAMI GARDENS DR STE 285
Miami, FL 33179
(305) 944-8777
✔ PECOS✔ Accepts MedicareSame address
Wayne Evancho, DO
Family Practice
NPI 1619069804
1380 NE MIAMI GARDENS DRIVE SUITE 285
North Miami Beach, FL 33179
(305) 944-8777
✔ PECOS✔ Accepts MedicareSame address
Vanessa Gonzalez, APRN
Nurse Practitioner
NPI 1235739897
931 S PARK RD APT 207
Hollywood, FL 33021
(786) 252-0841
✔ PECOS✔ Accepts Medicare5.1 mi
Carline Brownlee
Nurse Practitioner
NPI 1154885440
2301 N UNIVERSITY DR STE 104
Pembroke Pines, FL 33024
(954) 271-7180
✔ PECOS✔ Accepts Medicare7.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wayne N Evancho Do PA's NPI number?

The NPI number for Wayne N Evancho Do PA is 1902066368. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Wayne N Evancho Do PA located?

Wayne N Evancho Do PA is located at 1380 NE Miami Gardens Dr Suite 285, North Miami Beach, FL 33179. The listed phone number is (305) 944-8777.

What is Wayne N Evancho Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wayne N Evancho Do PA enrolled in Medicare?

Yes. Wayne N Evancho Do PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wayne N Evancho Do PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Wayne N Evancho Do PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wayne N Evancho Do PA accept?

Health plans from AvMed and Molina Healthcare list Wayne N Evancho Do PA 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.

When was this NPI record last updated?

The NPPES record for Wayne N Evancho Do PA was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.