Evandro Nunes Andrade, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Marlborough, MA
NPI 1033051909 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1033051909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2350328 (MA)
- Practice address
- 157 Union St
Marlborough, MA 01752-1228 - Phone
- (508) 486-5400
- Fax
- (508) 486-5480
- NPI assigned
- Apr 8, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
157 Union St
Marlborough, MA 01752-1228
Phone (508) 486-5521
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260427003528 | MA | Practitioner - Nurse Practitioner | 1850868829 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2350328 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2350328 | MA | Yes |
Addresses
Primary practice location
157 Union St
Marlborough, MA 01752-1228
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other providers in Marlborough, MA
- Jamillah Anderson
- Jarvina Anderson
- Mackenzie Anderson
- Megan Anderson
- Ana Carolina Andrade Fernandes
- Madisyn Mae Andrade
- Laura Christine Andrews
- Portia Andrews
- Sophie M Andrews
- Andrea Nicole Annen
All providers in Marlborough, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.