Active NPI
Abbie Diane Evans, FNP-BC
- Family Nurse Practitioner
- Van Wert, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28796
- Practice address
- 140 Fox Rd Ste 201
Van Wert, OH 45891-2492 - Phone
- (419) 232-2323
- NPI assigned
- Jul 6, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Van Wert, OH
- NPI 1942267760
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, OH
- NPI 1265627301
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Clinic/Center
- Van Wert, OH
- NPI 1982107975
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Van Wert County Hospital Association
Practice addresses (Care Compare)
214 Town Ctr Blvd
Van Wert, OH 45891-9086
Phone (419) 232-2077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210729002590 | OH | Practitioner - Nurse Practitioner | 3779859814 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28796 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Wert Medical Services, LTD. | Current | Accepting new patients | |
| Van Wert County Hospital Association | Current | Accepting new patients | |
| Van Wert Medical Services, LTD. | Family | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
Dept L3641
Columbus, OH 43260
140 Fox Rd
Ste 201
Van Wert, OH 45891
Phone (419) 232-2077
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
214 Towne Center Blvd
Van Wert, OH 45891
Phone (419) 227-3737
140 Fox Rd
Van Wert, OH 45891
Phone (419) 238-7700
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71007232A | IN | |
| Family Nurse Practitioner | 363LF0000X | 28796 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
140 Fox Rd Ste 201
Van Wert, OH 45891-2492
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Other practice location 1
214 Towne Center Blvd
Van Wert, OH 45891-9086
Phone (419) 605-0850
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aevans1039107@direct.ohiohealth.com | OhioHealth Physician Group, Inc. |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2024.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1326569765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7527",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430170727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 FOX RD STE 201",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458912492",
"telephone_number": "419-232-2323"
}
],
"practiceLocations": [
{
"address_1": "214 Towne Center Blvd",
"address_purpose": "LOCATION",
"city": "Van Wert",
"state": "OH",
"postal_code": "458919086",
"country_code": "US",
"telephone_number": "419-605-0850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "ABBIE",
"middle_name": "DIANE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71007232A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "28796",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aevans1039107@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group, Inc.",
"address_1": "140 Fox Rd Ste 201",
"city": "Van Wert",
"state": "OH",
"country_code": "US",
"postal_code": "458912492",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.