Individual provider Active NPI

Maria Evola, FNP-BC

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1689765109
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334139-1 Issued in NY
Practice address
4 Highlawn Ave
Brooklyn, NY 11223-2428
Phone
(718) 676-5650
Fax
(718) 758-4428
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F334139-1 NY Primary

Addresses

Primary practice location

4 Highlawn Ave
Brooklyn, NY 11223-2428

Mailing address

4 Highlawn Ave
Brooklyn, NY 11223-2428
Phone (718) 676-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041229000435 NY Practitioner - Nurse Practitioner 8123086790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Larimar Family NP Services PLLCGroup PAC ID 6103185558, 2 clinicians

Practice addresses (Care Compare)

4 Highlawn Ave
Brooklyn, NY 11223-2428
Phone (718) 676-5650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F334139-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Larimar Family NP Services, PLLC CurrentSince Dec 25, 2017 Accepting new patients
KHH Emergency Medicine Past Accepting new patients
Lich Faculty Practice Nurse Practitioner Past Accepting new patients
Long Island College Hospital Nurse Practitioner Past Accepting new patients

Locations

4 Highlawn Ave
Brooklyn, NY 11223
Phone (646) 801-3772

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1689765109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HIGHLAWN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232428",
            "telephone_number": "718-676-5650",
            "fax_number": "718-758-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HIGHLAWN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232428",
            "telephone_number": "718-676-5650",
            "fax_number": "718-758-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVOLA",
        "first_name": "MARIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334139-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.