Nathan Dale Everson, PA-C
Physician Assistant, Medical in Pipestone, MN. Individual provider (NPI-1).
NPI number1104775345
StatusActive
Last updated in NPPESSep 8, 2026
Details
- NPI
- 1104775345
- Entity type
- Individual (NPI-1)
- Name
- Nathan Dale Everson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2026
- Certification date
- Sep 8, 2026
- Last updated
- Sep 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 15871 | MN | Yes |
Practice location
916 4th Ave SwPipestone, MN 56164-1890
Phone 507-825-5700 · Fax 507-825-4706
Mailing address
916 4th Ave SwPipestone, MN 56164-1890
Phone 507-825-5700 · Fax 507-825-4762
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.