JEEMIN EVERSOLE (NP) – Family Nurse Practitioner, NPI 1881125565
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JEEMIN EVERSOLE (NP)
PO BOX 665
EFFINGHAM, IL 624010665
Phone: (217) 342-7000
Fax: (217) 342-7002
Type: Mailing
1106 N MERCHANT ST
EFFINGHAM, IL 624012128
Phone: (217) 342-7000
Fax: (217) 342-7002
Type: Location
415, North Cedar Street, Shelbyville, Shelby County, Illinois, 62565, United States
SHELBYVILLE, IL 625651245
Phone: (217) 774-3800
Fax: (217) 774-3850
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $433.
Total Amount is formed as General ($433) + Research ($0) + Ownership ($0) = $433.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Dexcom, Inc. ($105).
Total Amount
$433
General + Research + Ownership
Payments
19
Total payment records
General Amount
$433
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $105 |
| ABBVIE INC. | $70 |
| Phathom Pharmaceuticals, Inc. | $62 |
| IRONSHORE PHARMACEUTICALS INC. | $49 |
| Merck Sharp & Dohme LLC | $44 |
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: 2017-04-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170425000198 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 60 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 12 | 12 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 12 | 12 | $0 |
Insurance plans in this area (ZIP 62401)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| - | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| - | IL | |
| Family Practice | MO | |
| Mental Health Counselor | IL | |
| Family Practice | IL |
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