Individual provider Active NPI

Patricia Bass Evans, ANP

  • Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1639461726
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9394833 Issued in FL
Practice address
4747 US Highway 19
New Port Richey, FL 34652-4945
Phone
(727) 494-7625
Fax
(727) 494-7629
NPI assigned
May 6, 2011
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9394833 FL Primary

Addresses

Primary practice location

4747 US Highway 19
New Port Richey, FL 34652-4945

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (252) 847-4299

Other practice location 1

3251 3rd Ave N
St Petersburg, FL 33713-8506
Phone (727) 321-3854

Other identifiers 1

IdentifierTypeStateIssuer
014455500MedicaidFL

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
I20150817002438 FL Practitioner - Nurse Practitioner 7810169471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Charities IncGroup PAC ID 2163668286, 17 clinicians

Practice addresses (Care Compare)

1315 7TH Ave N
Tampa, FL 33605-3607
Phone (813) 232-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ARNP9394833FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Charities Inc CurrentSince Jan 14, 2018 Accepting new patients

Locations

302 Bryan Rd
Brandon, FL 33511
Phone (727) 321-8545

18167 US Highway 19 N
Ste 150
Clearwater, FL 33764
Phone (727) 220-0550

4747 US Highway 19
New Port Richey, FL 34652
Phone (727) 494-7625

11201 Corporate Cir N
Ste 140
St Petersburg, FL 33716
Phone 72732138541025

2237 Central Ave
St Petersburg, FL 33713
Phone 72732138541025

3251 3rd Ave N
St Petersburg, FL 33713
Phone 72732138541025

3251 3rd Ave N
Rm 125
St Petersburg, FL 33713
Phone (727) 321-2527

701 94th Ave N
Ste 250
St Petersburg, FL 33702

1315 E 7th Ave
Tampa, FL 33605
Phone (813) 232-3808

3918 N Highland Ave
Tampa, FL 33603
Phone 72732138541025

Organizations & group practices 1

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1639461726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "252-847-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 US HIGHWAY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524945",
            "telephone_number": "727-494-7625",
            "fax_number": "727-494-7629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3251 3rd Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337138506",
            "country_code": "US",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PATRICIA",
        "middle_name": "BASS",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9394833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014455500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.