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CAROLE EVANS NP
NPI 1396276572
Nurse Practitioner in Blue Ash, OH

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
40.96/100
CMS Quality Rating
10999 REED HARTMAN HWY, STE 215, BLUE ASH, OH 45242(513) 745-9320 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carole Evans Np NPPES

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

CAROLE EVANS NP (NPI 1396276572) is an individual nurse practitioner in Blue Ash, Ohio, licensed in Ohio (APRN.CNP.020606) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396276572
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLE EVANSCredential: NP
Location Address10999 REED HARTMAN HWY, STE 215Blue Ash, OH 45242-8331
Mailing Address10999 Reed Hartman Hwy, Ste 215Blue Ash, OH 45242-8331 · (513) 745-9320
Phone(513) 745-9320
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 21, 2017
✔ NPI 1396276572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.020606
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10999 REED HARTMAN HWY, Blue Ash, OH 45242
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carole Evans 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 ID6103103072
PECOS Enrollment IDI20170502000510
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Carole Evans reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Providers And Hospitalists Inc
Same address
Internal Medicine
10999 REED HARTMAN HWY, SUITE 215
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
NPI 1578687687 (513) 745-9320
Midwest Hospitalists, Inc
Same address
Hospitalist
10999 REED HARTMAN HWY STE 215
Blue Ash, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 18 clinicians in this Medicare group
NPI 1356465439 (513) 745-9320
Supportive Healthcare Skilled LLC
8.0 mi
Family
4001 ROSSLYN DR
Cincinnati, OH 45209
  • Reassigned Medicare billing, Ohio enrollment
  • 65 clinicians in this Medicare group
NPI 1316838352 (513) 314-7617
Medical Housecalls LLC
8.1 mi
Family
4850 SMITH RD STE 250
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
NPI 1962745083 (513) 699-9090
Trihealth G LLC
11 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
547 services100 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
147 services70 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
69 services29 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
54 services52 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
31 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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.

40.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.72
Promoting Interoperability0
Improvement Activities20
Cost25.47

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%99 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims39 services$5.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims18 services$1.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

SOUTHWEST TRANSPORTATION SERVICES, LLC
Non-emergency Medical Transport (VAN)
10999 REED HARTMAN HWY, SUITE 108 E
CINCINNATI, OH 45242
Hamilton County (513) 344-7744
CIERRA T TRIBBLE LPN
Licensed Practical Nurse
10999 REED HARTMAN HWY, D&C ENHANCED HOME HEALTHCARE AGENCY
BLUE ASH, OH 45242
Hamilton County (513) 832-1234
KENNEDY HEIGHTS COUNSELING SERVICES LLC
Counselor (Mental Health)
10999 REED HARTMAN HWY, SUITE 130
BLUE ASH, OH 45242
Hamilton County (513) 266-9581
MR. MARCUS J MCNEIL MSW, LSW
Counselor (Mental Health)
10999 REED HARTMAN HWY, STE 207
BLUE ASH, OH 45242
Hamilton County (513) 999-5506
GERIATRIC PROVIDERS AND HOSPITALISTS INC
Internal Medicine
10999 REED HARTMAN HWY, SUITE 215
CINCINNATI, OH 45242
Hamilton County (513) 745-9320
MRS. EMILY BART L.I.S.W.
Social Worker (Clinical)
10999 REED HARTMAN HWY, SUITE 108F
CINCINNATI, OH 45242
Hamilton County (513) 885-9602
ESSENCE HOMECARE
Home Health Aide
10999 REED HARTMAN HWY
BLUE ASH, OH 45242
Hamilton County (513) 693-2794
MS. MADISON GRACE MALLORY
Counselor (Mental Health)
10999 REED HARTMAN HWY, SUITE 207
BLUE ASH, OH 45242
Hamilton County (513) 999-5506

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 Carole Evans's NPI number?

The NPI number for Carole Evans is 1396276572. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Carole Evans located?

Carole Evans practices at 10999 Reed Hartman Hwy Ste 215, Blue Ash, OH 45242. The listed phone number is (513) 745-9320.

What is Carole Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carole Evans enrolled in Medicare?

Yes. Carole Evans 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.

Which organizations bill Medicare for Carole Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carole Evans reassigns Medicare benefits to 5 organizations: Geriatric Providers And Hospitalists Inc (Cincinnati, OH), Midwest Hospitalists, Inc (Blue Ash, OH), Supportive Healthcare Skilled LLC (Cincinnati, OH), Medical Housecalls LLC (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carole Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carole Evans accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Carole Evans 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.

When was this NPI record last updated?

The NPPES record for Carole Evans was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.