Lenore I Everson, MD

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

33991 Issued in MN

Practice address

2428 E 117TH St
Burnsville, MN 55337-1269

Phone

(612) 444-3000

Fax

(612) 449-0004

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Addiction Medicine

Education

Georgetown University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Pain Relief and Wellness Center PLLCGroup PAC ID 7517198211, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: everson.lenore.005.0230015@vprwc.meditab.direct-ci.com
• Direct secure messaging: everson.lenore.011.0230015@vprwc.meditab.direct-ci.com
• Direct secure messaging: everson.lenore.009.0230015@vprwc.meditab.direct-ci.com
• Direct secure messaging: everson.lenore.004.0230015@vprwc.meditab.direct-ci.com
• Direct secure messaging: everson.lenore.003.0230015@vprwc.meditab.direct-ci.com
• Direct secure messaging: everson.lenore.007.0230015@vprwc.meditab.direct-ci.com

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.

• Valley Pain Relief and Wellness Center, PLLC

  • Psychologist
  • Burnsville, MN
  • NPI 1851922819
  Medicare reassignment Care Compare group NPD
• Valley Pain Relief and Wellness Center, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Burnsville, MN
  • NPI 1871915470
  NPD

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1407106149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-444-3000",
            "fax_number": "612-449-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-444-3000",
            "fax_number": "612-449-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Delaware St SE",
            "address_2": "MMC 292",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550341",
            "country_code": "US",
            "telephone_number": "612-626-5566",
            "fax_number": "612-626-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "LENORE",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2024-03-22",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "33991",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MN",
            "license": "33991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David Essen, ND
• Ev Dental P.a
• Alexandria Evans
• Thomas Ford Everett, DDS
• Alyssa Rose Everson, PA-C
• Eyewear Specialists Inc
• Diamond Ezeli
• Jessica Marie Fagan
• Brooke Martin Fahning, MD
• Fairview Clinics

• Addiction Medicine (Preventive Medicine) Physician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Addiction Medicine (Preventive Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.