JOSEPHINE ARCILLA EVANGELISTA (ARNP) – Adult Health Nurse Practitioner, NPI 1275704587

JOSEPHINE ARCILLA EVANGELISTA (ARNP) is a healthcare provider. based in Santa monica, California. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. RN60338171 (WA). The NPI Number for JOSEPHINE ARCILLA EVANGELISTA (ARNP) is 1275704587

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPHINE ARCILLA EVANGELISTA (ARNP)
NPI
1275704587
Phone
(310) 826-5471
Address
2020 SANTA MONICA BLVD STE 600
Enumeration Date
13 March 2008
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3104582381
Graduation Year
2005 (21 years ago)
PAC ID
5193950814
Group Practice PAC ID
1355248584
Professional Enrollment ID
I20240517002142
Address ID
CA904042139SA2020XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:18State licenses:4Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for JOSEPHINE ARCILLA EVANGELISTA (ARNP)

  • 2020 SANTA MONICA BLVD STE 600

    SANTA MONICA, CA 904042131

    Phone: (310) 826-5471

    Type: Location

  • Park Plaza Drive, Cerritos, Los Angeles County, California, 909703, United States

    ATTENTION MAGGIE NOLES

    CERRITOS, CA 907039329

    Phone: (562) 622-3607

    Fax: (562) 622-2803

    Type: Mailing

  • 12900 Park Plaza Dr Ste 150

    Attention Maggie Noles

    Cerritos, CA 907039329

    Phone: (562) 622-3607

    Fax: (562) 622-2803

    Type: Location

  • 400 S 43rd St

    Renton, WA 980555714

    Phone: (425) 690-3421

    Fax: (425) 690-9422

    Type: Location

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone: (310) 301-8707

    Type: Mailing

  • 3600 LIND AVE SW

    SUITE 100 ATTN CREDENTIALING

    RENTON, WA 980574970

    Phone: (425) 690-2715

    Type: Mailing

  • 400 S 43RD ST

    RENTON, WA 980555714

    Phone: (425) 690-3421

    Fax: (425) 690-9422

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Exelixis Inc. ($201).

Total Amount

$201

General + Research + Ownership

Payments

2

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Exelixis Inc.$201
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131104001558INurse PractitionerWATBD
I20240517002142INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes173100$0
99497Advance care planning, first 30 minutes9793$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9389$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5946$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5342$0
View full utilization report →

Insurance plans in this area (ZIP 90404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355248584View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
Family PracticeCA
-CA
-CA
-CA
Emergency Medicine, Family PracticeCA
Medical Oncology, Hematology/OncologyCA
Hospitalist, Internal MedicineMA
A L L E R G Y/ I M M U N O L O G YCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

Is JOSEPHINE ARCILLA EVANGELISTA (ARNP) listed with a National Provider Identifier?
Yes — JOSEPHINE ARCILLA EVANGELISTA (ARNP) has NPI 1275704587 on file in the registry.
Would JOSEPHINE ARCILLA EVANGELISTA (ARNP) appear as active to a payer?
You can treat JOSEPHINE ARCILLA EVANGELISTA (ARNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JOSEPHINE ARCILLA EVANGELISTA (ARNP)?
At a glance, JOSEPHINE ARCILLA EVANGELISTA (ARNP) is tied to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JOSEPHINE ARCILLA EVANGELISTA (ARNP)?
Directory geography for JOSEPHINE ARCILLA EVANGELISTA (ARNP) centers on Santa Monica, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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