Rome Diostonne Evangelista, NP - Medicare Nurse Practitioner in Encino, CA

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Rome Diostonne Evangelista, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Encino, California. His current practice location is 16530 Ventura Blvd Ste 400, Encino, California. You can reach out to his office (for appointments etc.) via phone at (818) 625-4814.

Rome Diostonne Evangelista is licensed to practice in California (license number 95026297) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144902347.

Contact Information

Rome Diostonne Evangelista, NP
16530 Ventura Blvd Ste 400,
Encino, CA 91436-4551
(818) 625-4814
Not Available

Map and Direction




Provider's Profile

Full NameRome Diostonne Evangelista
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location16530 Ventura Blvd Ste 400, Encino, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144902347
  • Provider Enumeration Date: 08/07/2023
  • Last Update Date: 06/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2365881778
  • Enrollment ID: I20240418001576

Medical Identifiers

Medical identifiers for Rome Diostonne Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144902347NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95026297 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rome Diostonne Evangelista allows following entities to bill medicare on his behalf.
Entity NameCalifornia Care Wellness Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447874516
PECOS PAC ID: 2264856236
Enrollment ID: O20200723000732
Entity NameMyndfull Care Management California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770206435
PECOS PAC ID: 4981070893
Enrollment ID: O20221018002310
Entity NameGeri Connection
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447976907
PECOS PAC ID: 0446629059
Enrollment ID: O20221202001861
Entity NameMyndfull Care California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912699703
PECOS PAC ID: 1557717238
Enrollment ID: O20231101001710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rome Diostonne Evangelista is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rome Diostonne Evangelista, NP
19525 Nordhoff St Apt 563,
Northridge, CA 91324-7427

Ph: (818) 625-4814		Rome Diostonne Evangelista, NP
16530 Ventura Blvd Ste 400,
Encino, CA 91436-4551

Ph: (818) 625-4814

Reviews and Comments


Nurse Practitioner Nurses in Encino, CA

Heidi Collier,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16133 Ventura Blvd, #360, Encino, CA 91436
Phone: 818-986-6009    Fax: 818-396-5594
Carrie Elizabeth Wilson Friedman, RN,MSN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16055 Ventura Blvd, Suite 712, Encino, CA 91436
Phone: 818-386-1395    Fax: 888-882-6061
Maya King, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 16133 Ventura Blvd Ste 360, Encino, CA 91436
Phone: 818-986-6009    Fax: 818-239-4239
John Tonegato, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16260 Ventura Blvd Ste 140, Encino, CA 91436
Phone: 818-528-2500    
Kelly Michele Manda, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5363 Balboa Blvd Ste 245, Encino, CA 91316
Phone: 818-343-4430    Fax: 818-343-4423
Kristi Lynn Kuiken, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15503 Ventura Blvd Ste 240, Encino, CA 91436
Phone: 818-461-8148    Fax: 818-461-8105

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.