DR. KRISTIN M EVERETT MD
NPI 1679566111
Family Medicine in Salem, OR

Active since August 30, 2005PECOS Enrolled
2525 12TH ST SE STE 260, SALEM, OR 97302(033) 914-1825 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Jan 19, 2023, Jan 6, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Kristin M Everett Md NPPES

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

DR. KRISTIN M EVERETT MD (NPI 1679566111) is an individual family medicine provider in Salem, Oregon, licensed in Oregon (MD212644) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679566111
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTIN M EVERETTCredential: MD
Location Address2525 12TH ST SE STE 260Salem, OR 97302-2282
Mailing Address2525 12th St Se Ste 260Salem, OR 97302-2282 · (971) 239-0001
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1679566111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD212644✔ Licensed in CO · 47999
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2525 12TH ST SE STE 260, Salem, OR 97302

Other Identifiers 2

Other47999CO · State License
OtherMD212644OR · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristin M Everett Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kristin Everett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
966 12TH ST SE STE 110
Salem, OR 97302
  • Reassigned Medicare billing, Oregon enrollment
  • 31 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97302 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
2525 12TH ST SE STE 260
SALEM, OR 97302
Family Medicine
2525 12TH ST SE STE 260
SALEM, OR 97302
Registered Nurse
2525 12TH ST SE STE 260
SALEM, OR 97302
Nurse Practitioner (Family)
2525 12TH ST SE STE 260
SALEM, OR 97302
Nurse Practitioner (Family)
2525 12TH ST SE STE 260
SALEM, OR 97302

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 Kristin Everett's NPI number?

The NPI number for Kristin Everett is 1679566111. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Kristin Everett located?

Kristin Everett practices at 2525 12th St SE Ste 260, Salem, OR 97302. The listed phone number is (033) 914-1825.

What is Kristin Everett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristin Everett enrolled in Medicare?

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

Which organization bills Medicare for Kristin Everett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Everett reassigns Medicare benefits to P3 Medical Group PC (Salem, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Everett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristin Everett 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.