JEEMIN EVERSOLE NP
NPI 1881125565
Nurse Practitioner - Family in Effingham, IL

Q: What is Jeemin Eversole's NPI number?

The NPI number for Jeemin Eversole is 1881125565. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Q: What is Jeemin Eversole's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeemin Eversole was last updated on May 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment

20.2/100

CMS Quality Rating

1106 N MERCHANT ST, EFFINGHAM, IL 62401(217) 342-7000(217) 342-7002 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2023, Apr 14, 2017, Mar 23, 2017 (3 updates tracked since 2017).

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About Jeemin Eversole Np NPPES

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

JEEMIN EVERSOLE NP (NPI 1881125565) is an individual family provider in Effingham, Illinois, licensed in Illinois (209-015825) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1881125565

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJEEMIN EVERSOLECredential: NP

Location Address1106 N MERCHANT STEffingham, IL 62401-2128

Mailing AddressPo Box 665Effingham, IL 62401-0665 · (217) 342-7000 · Fax (217) 342-7002

Phone(217) 342-7000

Fax(217) 342-7002

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 23, 2017

Last NPPES UpdateMay 15, 20233 updates tracked since enumeration

NPPES CertifiedMay 15, 2023

✔ NPI 1881125565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209-015825

Also ListedRegistered NurseTaxonomy 163W00000X · License 041-405262 (IL)

1106 N MERCHANT ST, Effingham, IL 62401

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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

Jeemin Eversole Np 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 ID9537445796

PECOS Enrollment IDI20170425000198

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

20.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

5.04

Improvement Activities

Cost

27.28

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers16 claims16 services$57.01 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier12 claims720 services$0.72 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers15 claims15 services$24.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MEAGAN ZERRUSEN

Specialist/Technologist (Athletic Trainer)