MRS. KRISTIN L EVERSOLE (ARNP) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1679660567

MRS. KRISTIN L EVERSOLE (ARNP) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP2649042 (FL). The NPI Number for MRS. KRISTIN L EVERSOLE (ARNP) is 1679660567

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTIN L EVERSOLE (ARNP)
NPI
1679660567
Phone
(904) 446-3451
Address
5220 BELFORT RD
Enumeration Date
10 October 2006
Last Update Date
4 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8556895105
Graduation Year
1998 (28 years ago)
PAC ID
2466585708
Group Practice PAC ID
5991604852
Professional Enrollment ID
I20100806000172
Address ID
FL342322411SA741XXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for MRS. KRISTIN L EVERSOLE (ARNP)

  • Kelly Service, 5220, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States

    STE 130

    JACKSONVILLE, FL 322566017

    Phone: (904) 446-3451

    Fax: (904) 446-3013

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Kerecis Limited ($114).

Total Amount

$114

General + Research + Ownership

Payments

1

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Kerecis Limited$114
View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-06

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
I20100806000172INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes892197$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes808204$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes195182$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes161154$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes8581$0
View full utilization report →

Insurance plans in this area (ZIP 32256)

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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: 5991604852View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
General SurgeryFL
Emergency MedicineFL
-FL
Vascular Surgery, General SurgeryFL
-FL
Cardiac Surgery, Thoracic Surgery, Cardiovascular Disease (Cardiology)FL
Internal MedicineFL
General SurgeryFL
-FL

Reviews

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Frequently asked questions

What identifier follows MRS. KRISTIN L EVERSOLE (ARNP) across health systems?
The NPI 1679660567 uniquely identifies MRS. KRISTIN L EVERSOLE (ARNP) in U.S. healthcare data.
Does the public listing show MRS. KRISTIN L EVERSOLE (ARNP) as active?
MRS. KRISTIN L EVERSOLE (ARNP)'s NPI record reflects an active status in NPPES.
What services align with MRS. KRISTIN L EVERSOLE (ARNP)'s listing?
MRS. KRISTIN L EVERSOLE (ARNP)'s public classification highlights Undersea and Hyperbaric Medicine (Preventive Medicine) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. KRISTIN L EVERSOLE (ARNP)?
The directory associates MRS. KRISTIN L EVERSOLE (ARNP) with Jacksonville, Florida. Check all listed addresses for suites or satellite offices.
Can I export MRS. KRISTIN L EVERSOLE (ARNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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