MS. KIMBERLEY ANN EVERETT NURSE PRACTITIONER
NPI 1720014228
Nurse Practitioner - Adult Health in Vancouver, WA
About Ms. Kimberley Ann Everett Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMBERLEY ANN EVERETT NURSE PRACTITIONER (NPI 1720014228) is an individual adult health provider in Vancouver, Washington, licensed in Washington (AP30005874) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kimberley Ann Everett Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberley Everett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 711 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 98664 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
VANCOUVER, WA 98664
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 Kimberley Everett's NPI number?
The NPI number for Kimberley Everett is 1720014228. It was assigned to this individual provider in the NPPES registry on June 25, 2006. The provider is also known as Kimberly Koon Np.
Where is Kimberley Everett located?
Kimberley Everett practices at 700 NE 87th Ave, Vancouver, WA 98664. The listed phone number is (360) 882-2778.
What is Kimberley Everett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kimberley Everett enrolled in Medicare?
Yes. Kimberley Everett is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberley Everett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Everett reassigns Medicare benefits to The Vancouver Clinic Inc Ps (Vancouver, WA). 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 Kimberley 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 Kimberley Everett was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ms. Kimberley Ann Everett, NURSE PRACTITIONER · NPI 1720014228
Adult Health physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1720014228 (Entity type: Individual)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** AP30005874 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 NE 87TH AVE, Vancouver, WA 98664-1913
- **Phone:** (360) 882-2778 · **Fax:** (360) 604-1763
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Vancouver Clinic Inc Ps (NPI 1992759427, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2019
- **Other identifiers:** Medicaid 2036050 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1720014228) · Data from the CMS NPPES public registry.