Active NPI
Jessica Lyn Evans, CNM
- Advanced Practice Midwife
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- COA.12756
- Practice address
- 3219 Clifton Ave.,
Ste. 210
Cincinnati, OH 45220-3041 - Phone
- (513) 751-5900
- Fax
- (513) 487-4590
- NPI assigned
- Oct 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | COA.12756 | OH | Primary |
Addresses
Primary practice location
3219 Clifton Ave.,
Ste. 210
Cincinnati, OH 45220-3041
Mailing address
PO Box 633448
Cincinnati, OH 45263-3448
Phone (513) 853-4731
Other practice location 1
440 Ray Norrish Dr
Cincinnati, OH 45246-1520
Phone (513) 671-7700
Other practice location 2
4685 Forest Ave.
Suite C
Cincinnati, OH 45212-3559
Phone (513) 853-4731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056363 | Medicaid | OH |
Other names 1
- Miss Jessica Moon
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- University of Cincinnati College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10496 Montgomery Rd
Suite 110
Montgomery, OH 45242-5220
Phone (513) 671-7700
375 Dixmyth Ave
Cincinnati, OH 45220-2475
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000
4420 Aicholtz Rd
Cincinnati, OH 45245-1762
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.12756 | OH | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Current | Accepting new patients | |
| Trihealth H LLC | Current | Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients | |
| Planned Parenthood Southwest Ohio Region | Advanced Practice Midwife | Past | Accepting new patients |
| Planned Parenthood Southwest Ohio Region | Past | Accepting new patients | |
| Bethesda Hospital Inc | Past | Accepting new patients |
Locations
4420 Aicholtz Rd
Ste 110
Cincinnati, OH 45245
Phone (513) 671-7700
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
3219 Clifton Ave
Ste 210
Cincinnati, OH 45220
Phone (513) 281-2390
440 Ray Norrish Dr
Cincinnati, OH 45246
Phone (513) 484-0179
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
100 Arrow Springs Blvd
Ste 2100
Lebanon, OH 45036
Phone (513) 228-1967
10496 Montgomery Rd
Ste 110
Montgomery, OH 45242
Phone (513) 671-7700
4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796
7759 University Dr
Ste D
West Chester, OH 45069
Phone (513) 463-4300
Interoperability endpoints
- jmoon39990@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 and National Provider Directory roles.
-
- Obstetrics Physician
- Cincinnati, OH
- NPI 1811215742
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- Family Medicine Physician
- Dayton, OH
- NPI 1033176490
Advanced Practice Midwife
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1174731806
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1962786095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 633448",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452633448",
"telephone_number": "513-853-4731",
"fax_number": "513-569-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 CLIFTON AVE.,",
"address_2": "STE. 210",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452203041",
"telephone_number": "513-751-5900",
"fax_number": "513-487-4590"
}
],
"practiceLocations": [
{
"address_1": "440 Ray Norrish Dr",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452461520",
"country_code": "US",
"telephone_number": "513-671-7700",
"fax_number": "513-671-5435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4685 Forest Ave.",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452123559",
"country_code": "US",
"telephone_number": "513-853-4731",
"fax_number": "513-569-6117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "JESSICA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-07",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OH",
"license": "COA.12756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0056363",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MOON",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.