KENDRA EVERSON – Optometrist, NPI 1336839752

KENDRA EVERSON is a healthcare provider. based in Sauk rapids, Minnesota. specializing in OPTOMETRY. They hold a License No. 3861 (MN). The NPI Number for KENDRA EVERSON is 1336839752

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA EVERSON
NPI
1336839752
Phone
Not provided
Address
2285 13TH ST NE
Enumeration Date
9 May 2023
Last Update Date
22 May 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9527582080
Graduation Year
2023 (3 years ago)
PAC ID
5698133817
Group Practice PAC ID
3173753670
Professional Enrollment ID
I20230621000876
Address ID
MN560712197NE1101XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for KENDRA EVERSON

  • 2285 13TH ST NE

    SAUK RAPIDS, MN 563798611

    Phone:

    Type: Mailing

  • 1101 1ST ST NE

    NEW PRAGUE, MN 560712197

    Phone: (952) 758-2080

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Alcon Vision LLC ($22).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-06-21

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
I20230621000876IOptometryMNTBD

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
92014Established patient complete exam of visual system2323$0
92134Imaging of retina1919$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 56379)

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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: 3173753670View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Does KENDRA EVERSON share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KENDRA EVERSON uses 1336839752.
Is KENDRA EVERSON listed as active for patients and plans?
The listing shows KENDRA EVERSON as active in the NPI system.
What is KENDRA EVERSON's primary classification?
Optometrist is the headline specialty for KENDRA EVERSON here. Clinical services aligned with this taxonomy classification.
Where is KENDRA EVERSON based?
KENDRA EVERSON is tied to Sauk Rapids, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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