Evolve Mental Health P C
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Martinsville, IN
NPI 1215804265 · NPPES record last updated Dec 16, 2025
Key facts
- NPI
- 1215804265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- EVOLVE MENTAL HEALTH P C
- Practice address
- 575 Skyway CT
Martinsville, IN 46151-7220 - Phone
- (317) 739-9481
- NPI assigned
- Oct 22, 2025
- Organization subpart
- No
Authorized official
- Name
- Gabriela Stanley
- Title
- Owner
- Phone
- (317) 739-9481
Practitioners 1
-
Gabriela Nicole Stanley, APRN-PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251229000482 | IN | Part B Supplier - Clinic/Group Practice | 9537655642 |
Receives reassigned benefits from 1 practitioner Practice locations: Martinsville, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
575 Skyway CT
Martinsville, IN 46151-7220
Mailing address
575 Skyway CT
Martinsville, IN 46151-7220
Other providers in Martinsville, IN
- Joshua J Eskonen
- Essential ABA, LLC
- Donna Marie Everman
- Tracy Ann Everman
- Everside Health, LLC
- Family Serviceof Central Indiana, Inc.
- Donald A Fantuzzo
- Fauvergue Enterprises
- Nancy Jane Fauvergue
- Janelle L Floyd
All providers in Martinsville, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.