| Mrs Michelle L Evans, CNP | |
|
930 Trailwood Dr, Boardman, OH 44512-5007 | |
| (513) 834-7063 | |
| (513) 873-1567 |
| Full Name | Mrs Michelle L Evans |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 930 Trailwood Dr, Boardman, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265772347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.14309 (Ohio) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.14309 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brightview Llc | 9032426044 | 123 |
| Entity Name | Brightview Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659769446 PECOS PAC ID: 9032426044 Enrollment ID: O20150923000820 |
| Entity Name | On Demand Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093257859 PECOS PAC ID: 0941554133 Enrollment ID: O20181106001761 |
| Entity Name | Boulder Care Provider Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649838590 PECOS PAC ID: 6901217447 Enrollment ID: O20220201002891 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle L Evans, CNP 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: (513) 873-1269 | Mrs Michelle L Evans, CNP 930 Trailwood Dr, Boardman, OH 44512-5007 Ph: (513) 834-7063 |
Melanie L Birch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 Windham Ct Ste 1, Boardman, OH 44512 Phone: 330-726-3357 Fax: 330-726-1465 | |
Lori L Leipheimer, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8261 Market St, Boardman, OH 44512 Phone: 330-286-0050 | |
Amanda Rae Caputo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 Windham Ct Ste 6a, Boardman, OH 44512 Phone: 330-259-0440 | |
Richelle D Shipman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-965-0909 Fax: 330-965-0897 | |
Nikki Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Trailwood Dr, Boardman, OH 44512 Phone: 234-287-6544 Fax: 330-259-9721 | |
Ashley Mckee, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 987 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-965-8760 | |
Makenzie Leigh Sember, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7430 Southern Blvd, Boardman, OH 44512 Phone: 330-729-9214 Fax: 330-729-9217 |