Donna Marie Everman, FNP
Individual provider Active NPI Nurse Practitioner · Martinsville, IN
NPI 1821343500 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1821343500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71004039A (IN)
- Practice address
- 293 Grand Valley Blvd
Martinsville, IN 46151-6910 - Phone
- (765) 516-6600
- Fax
- (765) 516-6601
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
1301 E National Hwy
Washington, IN 47501-4163
Phone (812) 674-5372
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121017000918 | IN | Practitioner - Nurse Practitioner | 8729238209 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004039A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Nurse Practitioner | Current |
Accepting new patients |
| FC Indiana, LLC | Current |
Accepting new patients | |
| FC Indiana, LLC | Nurse Practitioner | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71004039A | IN | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71004039A | Other | IN | INDIANA STATE LICENSE |
Other providers in Martinsville, IN
- Ruth Ellen Dwyer
- Hayden Eacret
- Lorraine Gayle Epley
- Joshua J Eskonen
- Essential ABA, LLC
- Tracy Ann Everman
- Everside Health, LLC
- Evolve Mental Health P C
- Family Serviceof Central Indiana, Inc.
- Donald A Fantuzzo
All providers in Martinsville, IN · Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.