Individual provider Active NPI

Evelyn Nieves, MD

  • Family Medicine Physician
  • Coconut Creek, FL
National Provider Identifier
1013947472
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME85067 Issued in FL
Practice address
4828 Coconut Creek Pkwy
Coconut Creek, FL 33063-3904
Phone
(954) 971-2266
Fax
(877) 319-1851
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME85067 FL Primary

Addresses

Primary practice location

4828 Coconut Creek Pkwy
Coconut Creek, FL 33063-3904

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evelyn.nieves.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000580 FL Practitioner - Family Practice 6103967104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ponce School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians
Hernando Pasco Primary Care LLCGroup PAC ID 0547231474, 88 clinicians

Practice addresses (Care Compare)

4828 Coconut Creek Pkwy
Coconut Creek, FL 33063-3904
Phone (954) 971-2266

8251 W Broward Blvd
Plantation, FL 33324-2703
Phone (954) 581-8272

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME85067FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Independant Ipa,LLC Past Accepting new patients
Columbia Medical Group PastSince Dec 1, 2012 Accepting new patients
Mycare Medical of Texas, PLLC Family Medicine PastSince Mar 12, 2024 Accepting new patients
Lake Worth Medical PA PastSince Dec 1, 2012 Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

3465 Galt Ocean Dr
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 566-7775

1785 Northpointe Pkwy
Ste 300
Lutz, FL 33558
Phone (813) 536-7277

8251 W Broward Blvd
Ste 102
Plantation, FL 33324
Phone (954) 271-8880

320 S State Road 7
Plantation, FL 33317
Phone (855) 920-2377

320 S State Road 7
Ste 100
Plantation, FL 33317
Phone (954) 399-9014

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1013947472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 COCONUT CREEK PKWY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633904",
            "telephone_number": "954-971-2266",
            "fax_number": "877-319-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "EVELYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evelyn.nieves.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4828 Coconut Creek Pkwy",
            "city": "Coconut Creek",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330633904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.