Active NPI
Elizabeth Hope Eversmann, FNP-C
- Nurse Practitioner
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209004887
- Practice address
- 3106 Outer Dr
Marion, IL 62959-5270 - Phone
- (618) 997-4332
- Fax
- (618) 997-6205
- NPI assigned
- Aug 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209-004887 | IL | |
| Nurse Practitioner | 363L00000X | 209004887 | IL | Primary |
Addresses
Primary practice location
3106 Outer Dr
Marion, IL 62959-5270
Mailing address
3106 Outer Dr
Marion, IL 62959-5270
Phone (618) 997-4332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.16 of 100
- Quality
- 70.69
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-004887 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Clinic, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Illinois Clinic, Inc | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Illinois Clinic, Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189
1000 Eleven S
Columbia, IL 62236
Phone (618) 281-7010
Interoperability endpoints
- eevers01@yourcarecommunity.org
- eeversmann419251@direct.deaconess.com
Organizations & group practices 3
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.
-
dba Deaconess IL Clinic Eleven S
- Family Medicine Physician
- Columbia, IL
- NPI 1962128256
Nurse Practitioner
-
dba Deaconess IL Clinic 17th St
- Family Medicine Physician
- Marion, IL
- NPI 1326765090
Nurse Practitioner
-
dba Deaconess Illinois Clinic John A Logan
- Family Medicine Physician
- Carterville, IL
- NPI 1326836206
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1528051182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3106 OUTER DR",
"city": "MARION",
"state": "IL",
"postal_code": "629595270",
"telephone_number": "618-997-4332",
"fax_number": "618-997-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 OUTER DR",
"city": "MARION",
"state": "IL",
"postal_code": "629595270",
"telephone_number": "618-997-4332",
"fax_number": "618-997-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSMANN",
"first_name": "ELIZABETH",
"middle_name": "HOPE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-29",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209-004887",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209004887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.