Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Criston B Evans , CDCA

Licensed Practical Nurse β€’ Waverly, OH

Active NPI 1205342136 Individual Practitioner Female Practitioner
Practice location in NPPES

14532 Us Highway 23
Waverly, OH 45690

Call 7402859624 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14532 Us Highway 23

Waverly, OH 45690

Telephone 7402859624

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Waverly and Ohio

40 active clinicians are listed under Licensed Practical Nurse with a practice address in Waverly, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Waverly

0% of these 40 clinicians have the CMS telehealth indicator.

0% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH 156080

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES OH CDCA.169327

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0269005 (OH)

Secondary Practice Locations

14532 Us Highway 23

Waverly, OH 45690

Phone: 7402859624

14532 Us Highway 23

Waverly, OH 45690

Phone: 7402859624

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location September 19, 2019

Registered at 14532 US HIGHWAY 23, WAVERLY, OH 45690 (Tel: 7402859624)

πŸ“
Updated Business Mailing Address September 19, 2019

Registered at 1529 SWAUGER VALLEY RD, PORTSMOUTH, OH 456628898 (Tel: 7402859624)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2019

Licensed Practical Nurse (license number reported to NPPES: OH 156080)

πŸ“
Updated Practice Location May 31, 2019

Registered at 700 PARK AVE, IRONTON, OH 45638 (Tel: 7405321613)

πŸ“
Updated Business Mailing Address May 31, 2019

Registered at PO BOX 108, IRONTON, OH 456380108 (Tel: 7405321613)

πŸ‘€
Provider Name / Credentials Updated May 31, 2019

Recorded as CRISTON EVANS, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2019

Case Manager/Care Coordinator (license number reported to NPPES: OH CDCA.169327)

βœ…
NPI Profile Active December 14, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 14, 2017

Registered at 605 WASHINGTON ST, PORTSMOUTH, OH 456623919 (Tel: 7403538863)

πŸ“
Business Mailing Address (Initial Record) December 14, 2017

Registered at 605 WASHINGTON ST, PORTSMOUTH, OH 456623919 (Tel: 7403538863)

πŸ‘€
Provider Name / Credentials (Initial Record) December 14, 2017

Recorded as CRISTON EVANS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2017

Counselor (license number reported to NPPES: OH APP-000124755)

🟒
Initial NPI Registration & Enumeration December 14, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1205342136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2017
Last Update: September 19, 2019
Sole Proprietor: No

Mailing Address

1529 Swauger Valley Rd

Portsmouth, OH 456628898

Phone: 7402859624

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.