Individual provider Active NPI

Jekeijra Everson

  • Physician Assistant
  • Lewes, DE
National Provider Identifier
1902750094
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0012229 Issued in DE
Practice address
424 Savannah Rd
Lewes, DE 19958-1462
Phone
(302) 645-2437
Fax
(833) 629-0820
NPI assigned
Feb 24, 2026
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0012229 DE Primary
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

424 Savannah Rd
Lewes, DE 19958-1462

Mailing address

1515 Savannah Rd FL 2
Lewes, DE 19958-1675
Phone (302) 645-3499

Other practice location 1

33672 Bayview Medical Dr Fl 2
Lewes, DE 19958-1687
Phone (302) 645-2437

Other practice location 2

19161 Healthy Way
Rehoboth Beach, DE 19971-4491
Phone (302) 645-2437

Other practice location 3

23900 Milton Ellendale Hwy Ste 101
Milton, DE 19968-2714
Phone (302) 684-2033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20260501001993 DE Practitioner - Physician Assistant 7810465440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5-0012229DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network, Inc. PastSince Sep 17, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6835/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1902750094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD FL 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581462",
            "telephone_number": "302-645-2437",
            "fax_number": "833-629-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33672 Bayview Medical Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581687",
            "country_code": "US",
            "telephone_number": "302-645-2437",
            "fax_number": "833-629-0820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19161 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714491",
            "country_code": "US",
            "telephone_number": "302-645-2437",
            "fax_number": "833-629-0820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23900 Milton Ellendale Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "DE",
            "postal_code": "199682714",
            "country_code": "US",
            "telephone_number": "302-684-2033",
            "fax_number": "866-989-3129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "JEKEIJRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012229",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.