Evisencia G Mathurin, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11007659 Issued in FL

Practice address

2343 Aaron St
Port Charlotte, FL 33952-5305

Phone

(855) 979-5700

Fax

(855) 979-5701

NPI assigned

Jun 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, DC, MD, NC, NM, TN, TX7 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 7

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anova Medical Associates, PLCGroup PAC ID 8325372741, 130 clinicians

Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
• HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: evisencia.mathurin.1@4290.direct.athenahealth.com
• Direct secure messaging: emathurin961366@direct.vumc.org

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.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Anova Medical Associates, PLC

  • Hospitalist Physician
  • Gallatin, TN
  • NPI 1659849537
  Medicare reassignment Care Compare group NPD
• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256

  Internal Medicine

  Medicare reassignment NPD
• Adfinitas Health at Umcap, LLC

  • Hospitalist Physician
  • Largo, MD
  • NPI 1205585940

  DC

  Medicare reassignment NPD
• Apogee Medical Group North Carolina

  • Hospitalist Physician
  • Scottsdale, AZ
  • NPI 1043518228

  NC

  Medicare reassignment NPD
• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393

  MD

  Medicare reassignment NPD
• MMH Physicians

  • Hospitalist Physician
  • Midland, TX
  • NPI 1851764963

  Family

  Medicare reassignment NPD
• San Miguel Clinic Corp

  • Family Medicine Physician
  • Las Vegas, NM
  • NPI 1114920717
  Medicare reassignment NPD
• San Miguel Hospital Corporation

  • Critical Access Hospital
  • Las Vegas, NM
  • NPI 1114639234
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  NM, Nurse Practitioner

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MD

  Medicare reassignment
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD

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

• Englewood Community Hospital, Inc.

  • General Acute Care Hospital
  • Englewood, FL
  • NPI 1639122864
  Care Compare affiliation
• Infinity Home Care of Port Charlotte, LLC

  • Home Health Agency
  • Port Charlotte, FL
  • NPI 1043392038
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • North Venice, FL
  • NPI 1013534445
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation
• Sarasota Doctors Hospital Inc

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1003862053
  Care Compare affiliation

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1407472129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019328",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 AARON ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525305",
            "telephone_number": "855-979-5700",
            "fax_number": "855-979-5701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9618 Oak Glade Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336472985",
            "country_code": "US",
            "telephone_number": "813-580-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHURIN",
        "first_name": "EVISENCIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007659",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "74729",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38292",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "74729",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC004789",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1021018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maternal Fetal Medicine of S.W. FL
• Cheriyan Mathew
• Brenda Ann Mathias, CRDH
• Michaela Grace Mathis-Hagarty
• Deborah M Mathis, LCSW
• Matthew Bagan DO PA
• Thomas Matthews
• Lisa A Mattingly, MD
• Sarai Matzicoff Pena
• Mason S. Maulsby, ARNP

• Family Nurse Practitioner in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.