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EVANGELINE MAHIMA STANDRIDGE
NPI 1174121156
Nurse Practitioner - Family in Ontario, OH

Active since October 13, 2020PECOS Enrolled
2021 PARK AVE W, ONTARIO, OH 44906(567) 560-5558 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2021, Jul 12, 2021, Oct 13, 2020 (3 updates tracked since 2020).

About Evangeline Mahima Standridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANGELINE MAHIMA STANDRIDGE (NPI 1174121156) is an individual family provider in Ontario, Ohio, licensed in Florida (APRN11009632) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174121156
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEVANGELINE MAHIMA STANDRIDGE
Location Address2021 PARK AVE WOntario, OH 44906-2259
Mailing Address1395 Evergreen Ave WMansfield, OH 44905-2205 · (469) 314-6211
Phone(567) 560-5558
Sole ProprietorNo
Enumeration DateOctober 13, 2020
Last NPPES UpdateDecember 9, 20213 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1174121156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11009632
2021 PARK AVE W, Ontario, OH 44906
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evangeline Mahima Standridge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evangeline Standridge's NPI number?

The NPI number for Evangeline Standridge is 1174121156. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Evangeline Standridge located?

Evangeline Standridge practices at 2021 Park Ave W, Ontario, OH 44906. The listed phone number is (567) 560-5558.

What is Evangeline Standridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Evangeline Standridge enrolled in Medicare?

Yes. Evangeline Standridge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evangeline Standridge was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.