Individual provider Active NPI

Jessica Lyn Evans, CNM

  • Advanced Practice Midwife
  • Cincinnati, OH
National Provider Identifier
1962786095
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
COA.12756 Issued in OH
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

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0056363MedicaidOH

Other names 1

  • Miss Jessica Moon Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131207000192 OH Practitioner - Certified Nurse Midwife (CNM) 3274760780 Reassigns benefits to 2 organizations

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
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
COA.12756OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
Trihealth Physician Institute Past Accepting new patients
Planned Parenthood Southwest Ohio Region Advanced Practice Midwife PastSince Aug 17, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.