KRISTEN MISIAK EVERETT M.D.
NPI 1770858904
Obstetrics & Gynecology in San Leandro, CA
About Kristen Misiak Everett M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN MISIAK EVERETT M.D. (NPI 1770858904) is an individual obstetrics & gynecology provider in San Leandro, California, licensed in California (A127121) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristen Misiak Everett M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristen Everett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- 20,078 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 94577 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristen Everett's NPI number?
The NPI number for Kristen Everett is 1770858904. It was assigned to this individual provider in the NPPES registry on March 21, 2012.
Where is Kristen Everett located?
Kristen Everett practices at 2500 Merced St Dept Of, San Leandro, CA 94577. The listed phone number is (510) 454-4090.
What is Kristen Everett's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kristen Everett enrolled in Medicare?
Yes. Kristen 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.
Which organization bills Medicare for Kristen Everett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Everett reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). 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 Kristen 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 Kristen Everett was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kristen Misiak Everett, M.D. · NPI 1770858904
Obstetrics & Gynecology physician in San Leandro, California. Individual provider, active in the CMS NPPES registry since March 21, 2012.
## Identity
- **NPI:** 1770858904 (Entity type: Individual)
- **Enumerated:** March 21, 2012
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A127121 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 MERCED ST DEPT OF, San Leandro, CA 94577-4201
- **Phone:** (510) 454-4090
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1639252604, Redwood City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770858904) · Data from the CMS NPPES public registry.