MISS JACQUELINE OLIVIA EVERLY APRN NPI 1750977526

NPI Information

NPI: 1750977526
Provider Name: MISS JACQUELINE OLIVIA EVERLY, APRN
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Individual
PECOS Registration: Yes
Address: 901 JEFFERSON AVE
GLEN DALE, WV
ZIP 26038
Phone: (304) 843-3302

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NPI Details

MISS Jacqueline Olivia Everly, APRN is a family nurse practitioner in Glen Dale, WV with 5 years of experience. MISS Jacqueline Olivia Everly, APRN NPI is 1750977526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 JEFFERSON AVE
GLEN DALE, WV
ZIP 26038-407
Phone: (304) 843-3302

The NPI 1750977526 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 12/16/2020 and was last updated on 4/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F07200457	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F07200457	OTHER	WEST VIRGINIA	AMERICAN ACADEMY OF NURSE PRACTITIONERS
2	107051	OTHER	WEST VIRGINIA	WV BOARD OF REGISTERED NURSES
3	97909	OTHER	WEST VIRGINIA	WV BOARD OF REGISTERED NURSES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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