Individual provider Active NPI

Donna Marie Everman, FNP

  • Nurse Practitioner
  • Martinsville, IN
National Provider Identifier
1821343500
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71004039A Issued in IN
Practice address
293 Grand Valley Blvd
Martinsville, IN 46151-6910
Phone
(765) 516-6600
Fax
(765) 516-6601
NPI assigned
Jul 18, 2012
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71004039A IN Primary

Addresses

Primary practice location

293 Grand Valley Blvd
Martinsville, IN 46151-6910

Mailing address

293 Grand Valley Blvd
Martinsville, IN 46151-6910
Phone (765) 516-6600

Other identifiers 1

IdentifierTypeStateIssuer
71004039AOtherININDIANA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20121017000918 IN Practitioner - Nurse Practitioner 8729238209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1301 E National Hwy
Washington, IN 47501-4163
Phone (812) 674-5372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71004039AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 25, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 25, 2022 Accepting new patients
FC Indiana, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

1159 W Jefferson St
Ste 204
Franklin, IN 46131

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

293 Grand Valley Blvd
Martinsville, IN 46151
Phone (765) 516-6600

2070 N State Highway 3
North Vernon, IN 47265
Phone (812) 772-4380

1301 E National Hwy
Washington, IN 47501
Phone (812) 674-5372

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1821343500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 GRAND VALLEY BLVD",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461516910",
            "telephone_number": "765-516-6600",
            "fax_number": "765-516-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 GRAND VALLEY BLVD",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461516910",
            "telephone_number": "765-516-6600",
            "fax_number": "765-516-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERMAN",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004039A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE LICENSE",
            "identifier": "71004039A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

Verify at the official NPI Registry.