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Active NPI 1578273488 Individual Practitioner Male Practitioner

Jerry Wayne Eversole , LPN

Licensed Practical Nurse • Hanover, IN

Professional Overview & Biography Verified Profile Summary

Jerry Eversole, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Hanover, IN. Practice services are available at 338 E LAGRANGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

338 E Lagrange Rd

Hanover, IN 472439618

Telephone 8122734640
Fax 8122732925
Associated Practice Facility / Clinic
🏢 Major Hospital Facility NPI 1518904978

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Hanover, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Hanover, IN (590 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-01
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IN 27065312A

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Tabatha Robertson

Occupational Therapy Assistant

NPI 1205307022
Hermetes Capulong , PT

Physical Therapist

NPI 1225367584

Physical Therapist

Deborah Stengel , OTR, L

Occupational Therapist

NPI 1396074035

Occupational Therapist Registered, L

Celestra Hoffman , MS CCC-SLP

Speech-Language Pathologist

NPI 1609105964

MSCCCSLP

Elizabeth Desonia , COTA

Occupational Therapist - Physical Rehabilitation

NPI 1659944981

Certified Occupational Therapy Assistant

Lilibeth Gaminde , PT, WCC

Physical Therapist

NPI 1710216072

Physical Therapist, WCC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2022

Registered at 338 E LAGRANGE RD, HANOVER, IN 472439618 (Tel: 8122734640)

📍
Updated Business Mailing Address December 01, 2022

Registered at 950 CROSS AVE, MADISON, IN 472502002

👤
Provider Name / Credentials Updated December 01, 2022

Recorded as JERRY EVERSOLE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2022

Licensed Practical Nurse (License #27065312A in IN)

🟢
Initial NPI Registration & Enumeration December 01, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578273488
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2022
Last Update: December 01, 2022
Sole Proprietor: Yes

Mailing Address

950 Cross Ave

Madison, IN 472502002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.