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Deactivated NPI 1841219649 Deactivated / Inactive NPI Female Practitioner

Ida M. Evans , CNP

Nurse Practitioner • Gallipolis, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ida Evans has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 19, 2006
NPI Deactivation Date November 06, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Ida Evans, CNP was a registered Nurse Practitioner practicing in Gallipolis, OH. Throughout an active medical career spanning 19 years, Ida Evans provided care at the practice location at 90 JACKSON PIKE until profile deactivation on 2025-11-06.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

90 Jackson Pike

Gallipolis, OH 456311560

Telephone 7404465890
Fax 7404465532
Associated Practice Facility / Clinic
🏢 Holzer Hospital Foundation Facility NPI 1922112747

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gallipolis, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.4 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Gallipolis, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
98 76 $58.27 $21.68

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH 138767

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. John Viall , MD

Otolaryngology

NPI 1023052107

Doctor of Medicine (M.D.)

Dr. Kevin Mccann , MD

Radiology - Diagnostic Radiology

NPI 1275571564

Doctor of Medicine (M.D.)

NPI 1396798948

Doctor of Medicine (M.D.)

Dr. Antonio Sola , MD

Radiology - Diagnostic Radiology

NPI 1447291364

Doctor of Medicine (M.D.)

John Stone , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1508228412

NURSEPRACTITIONER

Karen Rose

Massage Therapist

NPI 1518031293

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 06, 2025

Record deactivated on November 06, 2025

NPI Profile Active August 31, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2007

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465890)

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Updated Business Mailing Address August 31, 2007

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465890)

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Provider Name / Credentials Updated August 31, 2007

Recorded as IDA EVANS, CNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2007

Nurse Practitioner (License #138767 in OH)

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Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841219649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: August 31, 2007
Deactivation Date: November 06, 2025

Mailing Address

90 Jackson Pike

Gallipolis, OH 456311560

Phone: 7404465890

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.