MARISA LEEANNE EVANCHO APRN-CNP
NPI 1912716630
Nurse Practitioner - Primary Care in Zanesville, OH

Q: What is Marisa Evancho's NPI number?

The NPI number for Marisa Evancho is 1912716630. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Q: What is Marisa Evancho's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Evancho was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since January 07, 2025PECOS EnrolledAccepts Medicare Assignment

955 BETHESDA DR FL 1, ZANESVILLE, OH 43701(740) 454-0804(740) 454-7171 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marisa Leeanne Evancho Aprn-cnp NPPES

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

MARISA LEEANNE EVANCHO APRN-CNP (NPI 1912716630) is an individual primary care provider in Zanesville, Ohio, licensed in Ohio (APRN.CNP.0038395) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912716630

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMARISA LEEANNE EVANCHOCredential: APRN-CNP

Location Address955 BETHESDA DR FL 1Zanesville, OH 43701-1840

Mailing Address3800 Mona DrZanesville, OH 43701-6900 · (740) 607-2302

Phone(740) 454-0804

Fax(740) 454-7171

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 7, 2025

NPPES CertifiedJanuary 7, 2025

✔ NPI 1912716630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in OH · APRN.CNP.0038395

955 BETHESDA DR FL 1, Zanesville, OH 43701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Marisa Leeanne Evancho Aprn-cnp 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 ID7214458009

PECOS Enrollment IDI20250310001828

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.

Hospital Affiliations CMS Care Compare

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360039

Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43701 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.

Other Providers at the Same Location NPPES 11

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

SIERRA LEWELLEN MSPAS, PA-C

Physician Assistant

955 BETHESDA DR FL 1, PHYSICIAN PAVILION
ZANESVILLE, OH 43701

Muskingum County (740) 454-0804

ABDULHAY ALBIRINI MD

Internal Medicine (Interventional Cardiology)