Individual provider Active NPI

Julie Ann Everson, MSN, NNP-BC

  • Family Nurse Practitioner
  • La Farge, WI
National Provider Identifier
1730617069
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8061 Issued in WI
Practice address
206 N Mill St
La Farge, WI 54639-6601
Phone
(608) 625-2494
Fax
(608) 638-5011
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8061 WI Primary
Critical Care Neonatal Nurse Practitioner 363LN0005X 104332791 MN

Addresses

Primary practice location

206 N Mill St
La Farge, WI 54639-6601

Mailing address

507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-4769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171030000215 MN Practitioner - Nurse Practitioner 2163798679 Reassigns benefits to 1 organization
I20200610002905 IA Practitioner - Nurse Practitioner 2163798679 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8061WIMDFamily Nurse Practitioner
104332791MNMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Finley Hospital CurrentSince Jun 15, 2020 Accepting new patients
The Finley Hospital Family CurrentSince Jun 15, 2020 Accepting new patients
Fairview Health Services CurrentSince Sep 9, 2017 Accepting new patients
Fairview Express Care CurrentSince Sep 9, 2017 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Fairview Health Services Current Accepting new patients
The Finley Hospital Past Accepting new patients

Locations

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3300 Oakdale Ave N
Apt 180
Robbinsdale, MN 55422
Phone (763) 581-5140

Interoperability endpoints

  • Direct secure messaging: jeverson746345@direct.unitypoint.org
  • Direct secure messaging: jeverson220826@direct.emplifyhealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1730617069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652059",
            "telephone_number": "608-637-4769",
            "fax_number": "608-638-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N MILL ST",
            "city": "LA FARGE",
            "state": "WI",
            "postal_code": "546396601",
            "telephone_number": "608-625-2494",
            "fax_number": "608-638-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "MSN, NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8061",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MN",
            "license": "104332791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Farge, WI

Sources for this page

Verify at the official NPI Registry.