1. Home
  2. Directory
  3. New York
  4. Clyde
  5. Nurse Practitioner
  6. NPI Profile

MS. LISA EVERETT FNP
NPI 1578915278
Nurse Practitioner - Family in Clyde, NY

Active since July 06, 2016PECOS EnrolledAccepts Medicare Assignment
4 W GENESEE ST, CLYDE FAMILY HEALTH CENTER, CLYDE, NY 14433(315) 923-3640 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Lisa Everett Fnp NPPES

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

MS. LISA EVERETT FNP (NPI 1578915278) is an individual family provider in Clyde, New York, licensed in New York (339831) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1578915278
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LISA EVERETTCredential: FNP
Location Address4 W GENESEE ST, CLYDE FAMILY HEALTH CENTERClyde, NY 14433-1126
Mailing Address4 W Genesee St, Clyde Family Health CenterClyde, NY 14433-1126 · (315) 923-3640
Phone(315) 923-3640
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 6, 2016
✔ NPI 1578915278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 339831
4 W GENESEE ST, Clyde, NY 14433
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Everett Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032407002
PECOS Enrollment IDI20161006000447
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%81 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

GENEVA GENERAL HOSPITAL, INC
Family Medicine
4 W GENESEE ST
CLYDE, NY 14433
Wayne County (315) 923-3640

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 Lisa Everett's NPI number?

The NPI number for Lisa Everett is 1578915278. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Lisa Everett located?

Lisa Everett practices at 4 W Genesee St Clyde Family Health Center, Clyde, NY 14433. The listed phone number is (315) 923-3640.

What is Lisa Everett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Everett enrolled in Medicare?

Yes. Lisa Everett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Everett was last updated on July 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.