TYSON EVERETT CSAC
NPI 1255717385
Case Management in Chicago, IL

Active since July 30, 2015PECOS Enrolled
5500 S INDIANA AVE BSMT, CHICAGO, IL 60637(773) 488-9460 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Sep 16, 2024 (2 updates tracked since 2024).

About Tyson Everett Csac NPPES

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

TYSON EVERETT CSAC (NPI 1255717385) is an individual case management provider in Chicago, Illinois, licensed in Illinois (A-3249-0001) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1255717385
Entity TypeIndividualMale
Primary Taxonomy251B00000X
Provider Legal NameTYSON EVERETTCredential: CSAC
Location Address5500 S INDIANA AVE BSMTChicago, IL 60637-1011
Mailing Address5500 S Indiana Ave BsmtChicago, IL 60637-1011 · (773) 488-9460 · Fax (773) 488-9462
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 30, 2015
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1255717385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
License Licensed in IL · A-3249-0001
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
5500 S INDIANA AVE BSMT, Chicago, IL 60637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tyson Everett Csac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981108511
PECOS Enrollment IDI20250917003078
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

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

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
5500 S INDIANA AVE BSMT
CHICAGO, IL 60637

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 Tyson Everett's NPI number?

The NPI number for Tyson Everett is 1255717385. It was assigned to this individual provider in the NPPES registry on July 30, 2015.

Where is Tyson Everett located?

Tyson Everett practices at 5500 S Indiana Ave Bsmt, Chicago, IL 60637. The listed phone number is (773) 488-9460.

What is Tyson Everett's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Is Tyson Everett enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyson Everett was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.