Individual provider Active NPI

Evan Lewis Donin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1245854926
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11018896 Issued in FL
Practice address
34921 US Highway 19 N Ste 160
Palm Harbor, FL 34684-1969
Phone
(516) 331-1353
Fax
(833) 672-3420
NPI assigned
May 29, 2020
Last updated
Aug 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404098 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11018896 FL Primary

Addresses

Primary practice location

34921 US Highway 19 N Ste 160
Palm Harbor, FL 34684-1969

Mailing address

2301 Stirling Cir Unit 311
Dunedin, FL 34698-7056
Phone (516) 331-1353

Other practice location 1

389 5th Ave Rm 402
New York, NY 10016-3357
Phone (917) 675-7441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241015003363 NY Practitioner - Nurse Practitioner 7719419795 Reassigns benefits to 1 organization
I20250319000346 FL Practitioner - Nurse Practitioner 7719419795 Reassigns benefits to 3 organizations
I20250424002250 AZ Practitioner - Nurse Practitioner 7719419795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
404098NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Mental Wellness Associates Inc. CurrentSince May 24, 2026 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 19, 2024 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Welllife Network Inc PastSince May 1, 2020 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 5

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1245854926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 STIRLING CIR UNIT 311",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987056",
            "telephone_number": "516-331-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34921 US HIGHWAY 19 N STE 160",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841969",
            "telephone_number": "516-331-1353",
            "fax_number": "833-672-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "389 5th Ave Rm 402",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163357",
            "country_code": "US",
            "telephone_number": "917-675-7441",
            "fax_number": "917-675-7449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONIN",
        "first_name": "EVAN",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404098",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11018896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.