MR. KEITH ALLEN EVERITT (APRN) – Nurse Practitioner, NPI 1942255245

MR. KEITH ALLEN EVERITT (APRN) is a healthcare provider. based in Berea, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3002444 (KY). The NPI Number for MR. KEITH ALLEN EVERITT (APRN) is 1942255245

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEITH ALLEN EVERITT (APRN)
NPI
1942255245
Phone
(859) 986-6036
Address
325 FLOYD BRANCH RD
Enumeration Date
24 May 2006
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8599675000
Graduation Year
1996 (30 years ago)
PAC ID
2062318777
Group Practice PAC ID
0648294157
Professional Enrollment ID
I20031211000700
Address ID
KY405091805LE150XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MR. KEITH ALLEN EVERITT (APRN)

  • 325 FLOYD BRANCH RD

    BEREA, KY 404038666

    Phone: (859) 986-6036

    Fax: (859) 986-6036

    Type: Mailing

  • 14 KNOX PLZ

    BARBOURVILLE, KY 409067300

    Phone: (606) 546-7777

    Fax: (606) 545-7611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,404.

Total Amount is formed as General ($1,404) + Research ($0) + Ownership ($0) = $1,404.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Gilead Sciences, Inc. ($242).

Total Amount

$1,404

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,404

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2003-12-11

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
I20031211000700INurse PractitionerKYTBD

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 40403)

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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: 0648294157View full group profile
NameSpecialtyState
Physician AssistantKY
Hospitalist, Internal MedicineNY
Nurse PractitionerKY
Internal MedicineWV
Nurse PractitionerGA
Hospitalist, Internal MedicineMI
Physician AssistantTN
Physician AssistantKY
Physician AssistantKY
Physician AssistantKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. KEITH ALLEN EVERITT (APRN)?
MR. KEITH ALLEN EVERITT (APRN) — NPI 1942255245 — is the standard way to identify this listing.
Does the file indicate MR. KEITH ALLEN EVERITT (APRN) is practicing under active NPI?
Directory data currently reports MR. KEITH ALLEN EVERITT (APRN) as active.
What is MR. KEITH ALLEN EVERITT (APRN)'s specialty?
The listing groups MR. KEITH ALLEN EVERITT (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MR. KEITH ALLEN EVERITT (APRN) on a map?
Expect Berea, Kentucky as a primary anchor for MR. KEITH ALLEN EVERITT (APRN) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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