Individual provider Active NPI

Erica R Evans, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1801204193
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11002496 Issued in FL
Practice address
2927 Pearson James Place
Lutz, FL 33559
Phone
(813) 428-5295
NPI assigned
Jul 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9556166 FL
Family Nurse Practitioner 363LF0000X 11002496 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11002496 FL Primary

Addresses

Primary practice location

2927 Pearson James Place
Lutz, FL 33559

Mailing address

19156 Meadow Pine Dr
Tampa, FL 33647-3609
Phone (404) 370-2158

Other identifiers 1

IdentifierTypeStateIssuer
117895500MedicaidFL

Other names 1

  • Erica R Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141125001572 GA Practitioner - Nurse Practitioner 5698097822 Reassigns benefits to 1 organization
I20201111000667 FL Practitioner - Nurse Practitioner 5698097822 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Practice Skills Workshop LLCGroup PAC ID 8921531930, 3 clinicians

Practice addresses (Care Compare)

2927 Pearson James PL
Lutz, FL 33559-6996
Phone (813) 991-4744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9556166FLMDRegistered Nurse
11002496FLMDFamily Nurse Practitioner
APRN11002496FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Florida, LLC Psychiatric/Mental Health CurrentSince Jun 1, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jan 1, 2026 Accepting new patients
Mary Welsh Foundation, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Advanced Practice Skills Workshop LLC CurrentSince Jul 1, 2024 Accepting new patients
The Southeast Permanente Medical Group CurrentSince Jul 25, 2019 Accepting new patients
Southland Behavioral Health Services LLC CurrentSince Sep 10, 2023 Accepting new patients
Robin Foster LMHC LLC CurrentSince May 15, 2024 Accepting new patients
Meaningful Concierge Healthcare LLC Family Current Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

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

2927 Pearson James Pl
Lutz, FL 33559
Phone (813) 428-5295

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

3820 Gunn Hwy
Ste 100
Tampa, FL 33618
Phone (813) 840-4304

29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

3650 Steve Reynolds Blvd
Duluth, GA 30096
Phone (770) 931-6010

Organizations & group practices 8

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": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1801204193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19156 MEADOW PINE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473609",
            "telephone_number": "404-370-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 PEARSON JAMES PLACE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33559",
            "telephone_number": "813-428-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ERICA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9556166",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002496",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11002496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117895500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "JOHNSON",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.