Everman Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EVERMAN FAMILY MEDICINE

Practice address

4771 N Summit Way Ste 110
Meridian, ID 83646-5017

Phone

(208) 830-3156

NPI assigned

Feb 28, 2025

Last updated

Feb 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Michelle Everman, FNPNPI 1225624711

Title

Owner

Phone

(208) 830-3156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Michelle Everman, NP

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1225624711
  Medicare reassignment NPD Authorized official
• Russell C Allen, DC

  • Chiropractor
  • Meridian, ID
  • NPI 1093730400
  NPD
• Shawn Stadlbauer, DC

  • Chiropractor
  • Meridian, ID
  • NPI 1447973250
  NPD

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1316744998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 E LOCKHART LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466580",
            "telephone_number": "208-830-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 N SUMMIT WAY STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465017",
            "telephone_number": "208-830-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERMAN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "EVERMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-830-3156",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Physical Medicine, LLC (Evergreen Physical Medicine)
• Evergreen Prosthetics and Orthotics, LLC
• Evergreen Wellness Endeavors LLC
• Evergreen Wellness Group LLC (Evergreen Chiropractic)
• Evergreen Wellness Partners, LLC (Evergreen Wellness Studios)
• Jessica Michelle Everman, NP
• Everything Hearing, LLC
• Eye Pros Treasure Valley (Eye Pros)
• Eyemart Express LLC
• Eyes on Meridian LLC

• Family Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.