Individual provider Active NPI

Marta Shevchenko, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1609740893
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95034504 Issued in CA
Practice address
19 Caraway
Irvine, CA 92604-3223
Phone
(949) 785-2406
NPI assigned
Oct 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95034504 CA Primary

Addresses

Primary practice location

19 Caraway
Irvine, CA 92604-3223

Mailing address

19 Caraway
Irvine, CA 92604-3223
Phone (949) 785-2406

Other names 1

  • Marta Bolsewicz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10752 Deerwood Park Blvd
Suite 100
Jacksonville, FL 32256-4846

19 Carlina
Irvine, CA 92620-1826
Phone (949) 785-2406

19 Carway
Irvine, CA 92604-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95034504CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1609740893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CARAWAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043223",
            "telephone_number": "949-785-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CARAWAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043223",
            "telephone_number": "949-785-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVCHENKO",
        "first_name": "MARTA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "BOLSEWICZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.