Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Leeanne Evancho, APRN-CNP

Individual provider Primary Care Nurse Practitioner · NPI 1912716630

Marisa Leeanne Evancho, APRN-CNP is a Nurse Practitioner in Zanesville, Ohio. Qualified in 2024, 2 years ago. Practices with Genesis Medical Group, LLC, a 262-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2025

Practice location Address checks out

955 Bethesda Dr Fl 1
Zanesville, OH 43701-1840
Phone: (740) 454-0804
Fax: (740) 454-7171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence APRN.CNP.0038395 (OH)

Record details

NPI number1912716630
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJanuary 7, 2025
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Genesis Medical Group, Llc — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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