Individual provider Active NPI

Abigail Evans, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1093160301
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11011204 Issued in FL
Practice address
1536 Sunrise Plaza Dr Ste 100
Clermont, FL 34714-6204
Phone
(321) 326-7516
Fax
(321) 517-2999
NPI assigned
Apr 25, 2016
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704284752 MI
Family Nurse Practitioner 363LF0000X APRN11011204 FL
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 232388 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11011204 FL Primary

Addresses

Primary practice location

1536 Sunrise Plaza Dr Ste 100
Clermont, FL 34714-6204

Mailing address

1536 Sunrise Plaza Dr Ste 100
Clermont, FL 34714-6204
Phone (321) 326-7516

Other practice location 1

250 Cushman St Ste 4F
Fairbanks, AK 99701-4665
Phone (321) 326-7516

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231006000018 FL Practitioner - Nurse Practitioner 8729376785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1536 Sunrise Plaza Dr
Suite 100
Clermont, FL 34714-6204
Phone (321) 326-7516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11011204FLMDFamily Nurse Practitioner
4704284752MIMDFamily Nurse Practitioner
232388AKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Family Psychiatry Inc Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Healing Psychiatry of Florida Inc Single Specialty CurrentSince Aug 17, 2023 Accepting new patients
Nejame Psychological Services LLC Single Specialty CurrentSince Mar 6, 2025 Accepting new patients

Locations

108 W Citrus St
Altamonte Springs, FL 32714
Phone (321) 972-9215

1536 Sunrise Plaza Dr
Ste 100
Clermont, FL 34714
Phone (321) 326-7516

1495 S Volusia Ave
Ste 203
Orange City, FL 32763
Phone (386) 218-6335

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1093160301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 SUNRISE PLAZA DR STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146204",
            "telephone_number": "321-326-7516",
            "fax_number": "321-517-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 SUNRISE PLAZA DR STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146204",
            "telephone_number": "321-326-7516",
            "fax_number": "321-517-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Cushman St Ste 4F",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014665",
            "country_code": "US",
            "telephone_number": "321-326-7516",
            "fax_number": "321-517-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ABIGAIL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704284752",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011204",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "232388",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11011204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.