EVELYN CORINNE STUMBO NP
NPI 1225618036
Nurse Practitioner - Family in Gallipolis, OH

Active since April 14, 2021PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
100 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 446-5000(740) 446-5883 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2023, Jun 7, 2022, Apr 14, 2021 (3 updates tracked since 2021).

About Evelyn Corinne Stumbo Np NPPES

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

EVELYN CORINNE STUMBO NP (NPI 1225618036) is an individual family provider in Gallipolis, Ohio, licensed in Ohio (APRN.CNP.0028629) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225618036
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEVELYN CORINNE STUMBOCredential: NP
Location Address100 JACKSON PIKEGallipolis, OH 45631-1560
Mailing Address90 Jackson PikeGallipolis, OH 45631-1562 · (740) 446-5000 · Fax (740) 446-5583
Fax(740) 446-5883
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 14, 2021
Last NPPES UpdateOctober 13, 20233 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1225618036 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 OH · APRN.CNP.0028629
100 JACKSON PIKE, Gallipolis, OH 45631

Other Identifiers 1

Medicaid0480845OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Evelyn Corinne Stumbo Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335535863
PECOS Enrollment IDI20220408000475
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
250 services166 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361320
Location500 Burlington RoadJackson, OH 45640 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Orthopaedic Surgery
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Audiologist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Internal Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Pediatrics
100 JACKSON PIKE
GALLIPOLIS, OH 45631

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 Evelyn Stumbo's NPI number?

The NPI number for Evelyn Stumbo is 1225618036. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Evelyn Stumbo located?

Evelyn Stumbo practices at 100 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (740) 446-5000.

What is Evelyn Stumbo's specialty?

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

Is Evelyn Stumbo enrolled in Medicare?

Yes. Evelyn Stumbo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Evelyn Stumbo accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Evelyn Stumbo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Evelyn Stumbo affiliated with any hospitals?

According to CMS data, Evelyn Stumbo is affiliated with Holzer Medical Center and Holzer Medical Center Jackson.

When was this NPI record last updated?

The NPPES record for Evelyn Stumbo was last updated on October 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.