Individual provider Active NPI

Marla M Evans, CNP

  • Women's Health Nurse Practitioner
  • Oxford, OH
National Provider Identifier
1245538420
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.0037303 Issued in OH
Practice address
5225 Morning Sun Rd
Oxford, OH 45056-8929
Phone
(513) 523-2158
Fax
(513) 523-0019
NPI assigned
Mar 11, 2011
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 71003590A IN
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.0037303 OH Primary

Addresses

Primary practice location

5225 Morning Sun Rd
Oxford, OH 45056-8929

Mailing address

5225 Morning Sun Rd
Oxford, OH 45056-8929
Phone (513) 523-2158

Other practice location 1

1050 Reid Pkwy
Suite 220
Richmond, IN 47374-1160
Phone (765) 962-9541

Other practice location 2

10058 Cooley Rd Ste A
Brookville, IN 47012-9510
Phone (765) 647-2677

Other identifiers 3

IdentifierTypeStateIssuer
0266331MedicaidOH
201047620MedicaidIN
000000960412OtherANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mevans301703@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110603000165 IN Practitioner - Nurse Practitioner 6507043395 Reassigns benefits to 1 organization
I20241205003759 OH Practitioner - Nurse Practitioner 6507043395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10058 Cooley Rd
Brookville, IN 47012-9509
Phone (765) 647-0808

5225 Morning Sun Rd
Oxford, OH 45056-8929
Phone (513) 523-2158

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth Physicians of Indiana Inc CurrentSince Oct 1, 2024 Accepting new patients
Trihealth Physicians of Indiana, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Trihealth Physicians of Indiana, Inc Current Accepting new patients
Trihealth H LLC CurrentSince Dec 2, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

10058 Cooley Rd
Brookville, IN 47012
Phone (765) 647-0808

10058 Cooley Rd
Ste A
Brookville, IN 47012
Phone (765) 647-2677

10058 Cooley Rd
Ste B
Brookville, IN 47012
Phone (765) 647-3557

98 Elm St
Ste 310
Lawrenceburg, IN 47025
Phone (812) 537-5558

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

5225 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2020

5225 Morning Sun Rd
Ste A
Oxford, OH 45056
Phone (513) 523-2158

Interoperability endpoints

  • Direct secure messaging: mevans301703@reidhealth.direct-ci.com
  • Direct secure messaging: mevans449924@direct.trihealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1245538420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 MORNING SUN RD",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450568929",
            "telephone_number": "513-523-2158",
            "fax_number": "513-523-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 MORNING SUN RD",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450568929",
            "telephone_number": "513-523-2158",
            "fax_number": "513-523-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Reid Pkwy",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741160",
            "country_code": "US",
            "telephone_number": "765-962-9541",
            "fax_number": "765-966-5952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10058 Cooley Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "IN",
            "postal_code": "470129510",
            "country_code": "US",
            "telephone_number": "765-647-2677",
            "fax_number": "765-647-4114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARLA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71003590A",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.0037303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266331",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201047620",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000960412",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mevans301703@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1050 Reid Pkwy",
            "address_2": "Suite 220",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.