Individual provider Active NPI

Evelyn Reyes, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, NY
National Provider Identifier
1003770777
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407698 Issued in NY
Practice address
14 Jason PL Ste 201
Middletown, NY 10940-1909
Phone
(845) 800-5118
NPI assigned
Dec 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407698 NY Primary

Addresses

Primary practice location

14 Jason PL Ste 201
Middletown, NY 10940-1909

Mailing address

14 Jason PL Ste 201
Middletown, NY 10940-1909
Phone (862) 571-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203000771 NY Practitioner - Nurse Practitioner 6002394806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Medical Center, Inc.Group PAC ID 5597194928, 4 clinicians

Practice addresses (Care Compare)

14 Jason PL
Suite 201
Middletown, NY 10940-1909
Phone (845) 800-5118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
407698NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Medical Center, Inc CurrentSince Jan 1, 2026 Accepting new patients

Locations

14 Jason Pl
Ste 201
Middletown, NY 10940
Phone (845) 513-6616

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCIJCD/Endpoint/HCIJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCIJCD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1003770777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JASON PL STE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401909",
            "telephone_number": "862-571-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 JASON PL STE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401909",
            "telephone_number": "845-800-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "EVELYN",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.