Individual provider Active NPI

Evan William McBride

  • Family Nurse Practitioner
  • Warren, OH
National Provider Identifier
1427877257
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0037807 Issued in OH
Practice address
1932 Niles Cortland Rd NE
Warren, OH 44484-1055
Phone
(877) 469-7476
Fax
(330) 856-7704
NPI assigned
Oct 8, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0037807 OH Primary

Addresses

Primary practice location

1932 Niles Cortland Rd NE
Warren, OH 44484-1055

Mailing address

4117 Fairlawn Heights Dr SE
Warren, OH 44484-2761
Phone (330) 240-4725

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117001068 OH Practitioner - Nurse Practitioner 9133658222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1932 Niles Cortland Rd NE
Warren, OH 44484-1055
Phone (330) 480-6547

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0037807OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC CurrentSince Feb 19, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 26, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 26, 2025 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Feb 19, 2025 Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1932 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 306-5300

528 Educational Hwy NW
Warren, OH 44483
Phone (330) 847-0503

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

5533 Mahoning Ave
Fl 2
Youngstown, OH 44515
Phone (330) 480-3533

Interoperability endpoints

  • Direct secure messaging: emcbride1031328@direct.bsmhealth.org

Organizations & group practices 4

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 3

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1427877257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 FAIRLAWN HEIGHTS DR SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842761",
            "telephone_number": "330-240-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841055",
            "telephone_number": "877-469-7476",
            "fax_number": "330-856-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "EVAN",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0037807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.