Individual provider Active NPI

Jessica Michelle Everman, NP

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1225624711
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12200061 Issued in ID
Practice address
1660 S Woodsage Ave BLDG a
Meridian, ID 83642-7670
Phone
(801) 664-1013
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12200061 ID Primary

Addresses

Primary practice location

1660 S Woodsage Ave BLDG a
Meridian, ID 83642-7670

Mailing address

2836 S Jiovanni PL
Meridian, ID 83642-7945
Phone (801) 664-1013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804000436 ID Practitioner - Nurse Practitioner 7214331156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4771 N Summit Way
Suite 110
Meridian, ID 83646-5017
Phone (208) 830-3156

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12200061IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Everman Family Medicine CurrentSince May 18, 2025 Accepting new patients

Locations

4771 N Summit Way
#110
Meridian, ID 83646
Phone (208) 830-3156

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFHDD/Endpoint/FEFHDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1225624711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 S JIOVANNI PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427945",
            "telephone_number": "801-664-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S WOODSAGE AVE BLDG A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427670",
            "telephone_number": "801-664-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERMAN",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "F12200061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.