ANNALISE CATHARINE EVERETT – Clinical Social Worker, NPI 1740664408

ANNALISE CATHARINE EVERETT is a healthcare provider. based in Fort lupton, Colorado. specializing in CLINICAL SOCIAL WORKER. The NPI Number for ANNALISE CATHARINE EVERETT is 1740664408

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ANNALISE CATHARINE EVERETT
NPI
1740664408
Phone
(970) 347-2120
Address
145 1ST ST
Enumeration Date
13 July 2015
Last Update Date
28 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8448437279
Graduation Year
2015 (11 years ago)
PAC ID
9436418670
Group Practice PAC ID
9537572490
Professional Enrollment ID
I20180117000375
Address ID
CO802461904DE720XXBLVD403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for ANNALISE CATHARINE EVERETT

  • 145 1ST ST

    FORT LUPTON, CO 806212002

    Phone: (970) 347-2120

    Type: Location

  • 1300 N 17th Ave

    Greeley, CO 806319584

    Phone: (970) 347-2120

    Type: Location

  • 72 East Dedham St.

    Boston, MA 02118

    Phone: (617) 292-9200

    Type: Location

  • 145 1st St

    Fort Lupton, CO 806212002

    Phone: (970) 347-2120

    Type: Location

  • 1300 N 17TH AVE

    GREELEY, CO 806319584

    Phone:

    Type: Mailing

  • 1115 2ND ST

    FORT LUPTON, CO 806211745

    Phone: (303) 697-2583

    Fax: (720) 322-9411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180117000375IClinical Social WorkerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80621)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537572490View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Clinical PsychologistCO
Clinical Social WorkerVA
Nurse PractitionerCO
P S Y C H I A T R YPA
Clinical Social WorkerCO
Clinical Social WorkerCO
Nurse PractitionerGA
Clinical Social WorkerCO
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference ANNALISE CATHARINE EVERETT?
For ANNALISE CATHARINE EVERETT, use NPI 1740664408 as the unique 10-digit identifier.
Active or inactive — what applies to ANNALISE CATHARINE EVERETT?
You should see ANNALISE CATHARINE EVERETT as active in CMS-hosted NPPES data.
What kind of doctor is ANNALISE CATHARINE EVERETT?
ANNALISE CATHARINE EVERETT is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in Colorado is ANNALISE CATHARINE EVERETT registered?
Use Fort Lupton, Colorado as the headline location for ANNALISE CATHARINE EVERETT here.
Can I trust this NPI listing for ANNALISE CATHARINE EVERETT?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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