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JACOB DWIGHT EVERETT DO
NPI 1184483810
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 15, 2024PECOS Enrolled
2880 N TENAYA WAY, LAS VEGAS, NV 89128(702) 427-6398 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Dwight Everett Do NPPES

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

JACOB DWIGHT EVERETT DO (NPI 1184483810) is an individual student in an organized health care education/training program in Las Vegas, Nevada, licensed in Nevada (SL2190) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184483810
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB DWIGHT EVERETTCredential: DO
Location Address2880 N TENAYA WAYLas Vegas, NV 89128-0618
Mailing Address2880 N Tenaya WayLas Vegas, NV 89128-0618 · (702) 427-6398
Phone(702) 427-6398
Sole ProprietorNo
Enumeration DateMarch 15, 2024
Last NPPES UpdateMay 10, 2026
NPPES CertifiedMay 10, 2026
✔ NPI 1184483810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NV · SL2190
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2880 N TENAYA WAY, Las Vegas, NV 89128
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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)

Jacob Dwight Everett Do 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.

Other Providers at the Same Location NPPES 20

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

DANIEL MCRAE BLACKMORE DO
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 235-6630
ANISA AZAD DO
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9540
ERENE YUSTINA ABDELMESEEH MD
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9540
RAGHAVENDRA AKHIL BOGABATHINA
Internal Medicine
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9540
YUKTI KARKI MD
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 427-6398
YOUSSEF BESHAY
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (725) 377-3655
DR. KENNETH FRANK PEREIRA DO
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9546
NICOLE INFANTINO DO
Student in an Organized Health Care Education/Training Program
2880 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 769-5937

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 Jacob Everett's NPI number?

The NPI number for Jacob Everett is 1184483810. It was assigned to this individual provider in the NPPES registry on March 15, 2024.

Where is Jacob Everett located?

Jacob Everett practices at 2880 N Tenaya Way, Las Vegas, NV 89128. The listed phone number is (702) 427-6398.

What is Jacob Everett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Everett enrolled in Medicare?

Yes. Jacob Everett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Everett was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.