MRS. KATHLENE MARIE EVERHART P.A.
NPI 1124229612
Physician Assistant - Medical in Riverside, CA

Q: What is Kathlene Everhart's NPI number?

The NPI number for Kathlene Everhart is 1124229612. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Kathlene Everhart's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kathlene Everhart was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2007PECOS Enrolled

9415 MISSION BLVD, RIVERSIDE, CA 92509(951) 360-8795(951) 360-8798 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Kathlene Marie Everhart P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHLENE MARIE EVERHART P.A. (NPI 1124229612) is an individual medical provider in Riverside, California, licensed in California (CA18713) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124229612

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. KATHLENE MARIE EVERHARTCredential: P.A.

Location Address9415 MISSION BLVDRiverside, CA 92509-2600

Mailing AddressPo Box 7849Riverside, CA 92513-7849 · (951) 358-5222 · Fax (951) 358-5235

Phone(951) 360-8795

Fax(951) 360-8798

Sole ProprietorNo

Enumeration DateMay 30, 2007

Last NPPES UpdateMarch 7, 2023

✔ NPI 1124229612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · CA18713

9415 MISSION BLVD, Riverside, CA 92509

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathlene Marie Everhart P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$200.12 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF RIVERSIDE- COMMUNITY HEALTH AGENCY

Family Medicine

9415 MISSION BLVD
RIVERSIDE, CA 92509

Riverside County (951) 360-8795

WALTER ERNESTO HERNANDEZ FNP

Nurse Practitioner (Family)

9415 MISSION BLVD
RIVERSIDE, CA 92509

Riverside County (951) 360-8795

MRS. ALEXIS MIMI DEDE RAHWANJI FNP-C

Nurse Practitioner (Primary Care)

9415 MISSION BLVD
JURUPA VALLEY, CA 92509

Riverside County (833) 865-8263

MRS. MARTHA A CHONG M.D.

Pediatrics

9415 MISSION BLVD
RIVERSIDE, CA 92509

Riverside County (951) 360-8795

DR. PRATIK M SHAH DDS

Dentist (General Practice)

9415 MISSION BLVD, STE# L
RIVERSIDE, CA 92509

Riverside County (951) 685-8500

COUNTY OF RIVERSIDE- COMMUNITY HEALTH AGENCY

Clinic/Center (Federally Qualified Health Center (FQHC))

9415 MISSION BLVD
RIVERSIDE, CA 92509

Riverside County (951) 360-8795

MR. YUKUEN CHUNG M.D.

Family Medicine

9415 MISSION BLVD
RIVERSIDE, CA 92509

Riverside County (951) 360-8795

PRATIK SHAH DDS INC.

Dentist (General Practice)

9415 MISSION BLVD, STE# L
RIVERSIDE, CA 92509

Riverside County (951) 685-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathlene Everhart's NPI number?

The NPI number for Kathlene Everhart is 1124229612. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Kathlene Everhart located?

Kathlene Everhart practices at 9415 Mission Blvd, Riverside, CA 92509. The listed phone number is (951) 360-8795.

What is Kathlene Everhart's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathlene Everhart enrolled in Medicare?

Yes. Kathlene Everhart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathlene Everhart was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.