Miss Jacqueline Olivia Everly, APRN - Medicare Nurse Practitioner in Glen Dale, WV

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Miss Jacqueline Olivia Everly, APRN is a medicare enrolled "Nurse Practitioner - Family" in Glen Dale, West Virginia. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novacare Outpatient Rehabilitation East Inc, West Virginia University Medical Corporation and her current practice location is 901 Jefferson Ave, Glen Dale, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 843-3302.

Miss Jacqueline Olivia Everly is licensed to practice in West Virginia (license number F07200457) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750977526.

Contact Information

Miss Jacqueline Olivia Everly, APRN
901 Jefferson Ave,
Glen Dale, WV 26038-1407
(304) 843-3302
Not Available

Map and Direction




Provider's Profile

Full NameMiss Jacqueline Olivia Everly
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location901 Jefferson Ave, Glen Dale, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Jacqueline Olivia Everly graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1750977526
  • Provider Enumeration Date: 12/16/2020
  • Last Update Date: 04/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2264846476
  • Enrollment ID: I20210129001896

Medical Identifiers

Medical identifiers for Miss Jacqueline Olivia Everly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750977526NPI-NPPES
F07200457OtherWVAMERICAN ACADEMY OF NURSE PRACTITIONERS
107051OtherWVWV BOARD OF REGISTERED NURSES
97909OtherWVWV BOARD OF REGISTERED NURSES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F07200457 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Virginia University HospitalsMorgantown, WVHospital
United Hospital CenterBridgeport, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novacare Outpatient Rehabilitation East Inc3678480290617
West Virginia University Medical Corporation10522245651613

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Jacqueline Olivia Everly allows following entities to bill medicare on her behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jacqueline Olivia Everly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Jacqueline Olivia Everly, APRN
980 Fairchance Rd,
Morgantown, WV 26508-2650

Ph: (304) 376-9965		Miss Jacqueline Olivia Everly, APRN
901 Jefferson Ave,
Glen Dale, WV 26038-1407

Ph: (304) 843-3302

Reviews and Comments


Nurse Practitioner Nurses in Glen Dale, WV

Cristyn Rene Davis, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 426 8th St Ste 305, Glen Dale, WV 26038
Phone: 304-559-3491    
Aliya Zainab Okey,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 426 8th St Ste 102, Glen Dale, WV 26038
Phone: 304-845-8444    
Mrs. Melissa Ann Kenamond, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 426 8th St, Ste. 305, Glen Dale, WV 26038
Phone: 304-483-5041    Fax: 304-845-4586
Sarah Sampson, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 426 8th St Ste 305, Glen Dale, WV 26038
Phone: 304-843-5041    
Brenda Dennis, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 426 8th St Ste 102, Glen Dale, WV 26038
Phone: 304-845-8444    Fax: 304-845-8446
Amy Catherine Joanou, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 426 8th St Ste 305, Glen Dale, WV 26038
Phone: 304-843-5041    
Amber Tolon, NP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038
Phone: 304-843-3211    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.