NPIMap

Individual provider Active NPI

Kristyn M. Everett, CFNP

  • Family Nurse Practitioner
  • Castle Rock, CO
National Provider Identifier
1942280334
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP4431 Issued in CO
Practice address
2356 Meadows Blvd
Castle Rock, CO 80109-8410
Phone
(303) 218-7774
Fax
(720) 608-5781
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP4431 CO
Family Nurse Practitioner 363LF0000X NP4431 CO Primary

Addresses

Primary practice location

2356 Meadows Blvd
Castle Rock, CO 80109-8410

Mailing address

2356 Meadows Blvd
Castle Rock, CO 80109-8410
Phone (303) 218-7774

Other practice location 1

410 S Wilcox St
Castle Rock, CO 80104-2662
Phone (303) 688-6900

Other identifiers 1

IdentifierTypeStateIssuer
04007407MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050117000343 CO Practitioner - Nurse Practitioner 0547219511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

2356 Meadows Blvd
Castle Rock, CO 80109-8410
Phone (303) 218-7774

Hospital & facility affiliations

  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP4431COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Sep 1, 2020 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2020 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2356 Meadows Blvd
Ste 140B
Castle Rock, CO 80109
Phone (303) 218-7774

831 S Perry St
Ste 200
Castle Rock, CO 80104
Phone (303) 218-7774

4344 Woodlands Blvd
Ste 260
Castle Rock, CO 80104
Phone (303) 649-3155

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • Direct secure messaging: keverett2049698@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1942280334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098410",
            "telephone_number": "303-218-7774",
            "fax_number": "720-608-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098410",
            "telephone_number": "303-218-7774",
            "fax_number": "720-608-5781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 S Wilcox St",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801042662",
            "country_code": "US",
            "telephone_number": "303-688-6900",
            "fax_number": "303-688-1417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "KRISTYN",
        "middle_name": "M.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "NP4431",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP4431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04007407",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.