Estrella P Evangelista, DNP, MED, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

852512 Issued in NV

Practice address

6605 Grand Montecito Pkwy Ste 100
Las Vegas, NV 89149-0210

Phone

(702) 401-8794

NPI assigned

Sep 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Estrella Evangelista Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Citi MedGroup PAC ID 9739529272, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Citi Med

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1417646860
  Medicare reassignment Care Compare group NPD
• Pacifica Healthcare Providers LLC

  dba CiTi MD

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1528628633
  Medicare reassignment NPD
• Empowered Choices LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1982403549
  NPD Authorized official
• Changing Minds Psychiatry LLC

  dba Changing Minds 82

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1760993117
  NPD (past)
• Expertise Billing Service LLP

  dba Expertise Medical Group

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1992394605
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1114445756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 GRAND MONTECITO PKWY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490210",
            "telephone_number": "702-401-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 GRAND MONTECITO PKWY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490210",
            "telephone_number": "702-401-8794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2535 W Cheyenne Ave",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890328929",
            "country_code": "US",
            "telephone_number": "702-405-8088",
            "fax_number": "702-405-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 N Maryland Parkway",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89101",
            "country_code": "US",
            "telephone_number": "702-401-8794",
            "fax_number": "702-401-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "ESTRELLA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DNP, MED, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "852512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTRELLA",
            "last_name": "EVANGELISTA",
            "credential": "MED, DNP, PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Evanes
• Ana Curita Evangelista
• Dahlia Evangelista
• Divina Evangelista
• Edgar J Evangelista, MD
• Gemma-Lynn Cruz Evangelista
• Jonathan Evangelista
• Leah Delilah Evangelista
• Rebecca Evangelisti
• Nickolas Evanoff

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.