Mary Jane Evangelista, PHD,DNP,PMHNP
NPI 1720760010ActiveIndividual· Nurse Practitioner, Primary Care· Chicago, IL
Nurse Practitioner, Primary Care (PHD,DNP,PMHNP) with Pacific Heritage Medical Group Inc, practicing in Chicago, Illinois. 64 Medicare patients in 2024, $55,766 paid; nearly all of their 186 Part D prescriptions were generic (98%). Otsuka America Pharmaceutical, Inc. reported $123.81 in payments in 2024, mostly food and beverage. Lists Saint Francis Hospital-Evanston as a hospital affiliation.
Overview
| NPI | 1720760010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD,DNP,PMHNP |
| Sole proprietor | Yes |
| NPI issued | Aug 4, 2023 |
| Last updated in NPPES | Sep 26, 2023 |
| Certified by provider | Sep 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 209.027735 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 1,036 across 5 procedure codes |
| Paid by Medicare | $55,766 |
Part D prescriptions in 2024
| Prescriptions (claims) | 186 · 186 30-day fills |
|---|---|
| Patients | 55 |
| Total drug cost | $14,029 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Pacific Heritage Medical Group IncSan Bernardino, CA · 63 clinicians
Hospital affiliation
- Saint Francis Hospital-EvanstonEvanston, IL
Industry payments (Open Payments)
- 2024$123.81 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $123.81 | 1 |
What the 2024 payments were for
- Food and Beverage$123.81 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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