Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Evisencia G Mathurin, DNP

Individual provider Family Nurse Practitioner · NPI 1407472129

Dr. Evisencia G Mathurin, DNP is a Nurse Practitioner in Port Charlotte, Florida. Qualified in 2020, 6 years ago. Practices with Anova Medical Associates, PLC, a 129-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Maryland, New Mexico and Tennessee and 1 more.

Years since qualifying
6
Licensed in
FL, MD, NM, TN, TX
In the registry since
2020
Specialties on file
6
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

2343 Aaron St
Port Charlotte, FL 33952-5305
Phone: (855) 979-5700
Fax: (855) 979-5701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9618 Oak Glade Ave, Tampa, FL 33647-2985 — (813) 580-9180

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11007659 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 74729 (NM)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 38292 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 74729 (NM)
Nurse Practitioner Taxonomy 363L00000X · Licence AC004789 (MD)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 1021018 (TX)

Record details

NPI number1407472129
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Anova Medical Associates, Plc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Port Charlotte