EVERNORTH CLINIC, PLLC
NPI 1053116483
Clinic/Center - Adolescent and Children Mental Health in Albertville, MN

Q: What is Evernorth Clinic, PLLC's NPI number?

The NPI number for Evernorth Clinic, PLLC is 1053116483. It was assigned to this organization in the NPPES registry on February 18, 2025.

Q: What is Evernorth Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since February 18, 2025

5703 LACHMAN AVE NE, ALBERTVILLE, MN 55301(763) 284-1877(763) 205-5834 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2025, Sep 5, 2025, Feb 18, 2025 (3 updates tracked since 2025).

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About Evernorth Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH CLINIC, PLLC (NPI 1053116483) is a healthcare organization registered as an adolescent and children mental health in Albertville, Minnesota and active in the NPI registry since February 2025. The organization lists Amanda Johnson, Owner, Founder, as its authorized official.

NPPES Registry Identity

NPI1053116483

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameEVERNORTH CLINIC, PLLC

Location Address5703 LACHMAN AVE NEAlbertville, MN 55301-3973

Mailing AddressPo Box 48Albertville, MN 55301-0048 · (763) 284-1877 · Fax (763) 205-5834

Phone(763) 284-1877

Fax(763) 205-5834

Organization SubpartNo

Authorized OfficialAmanda JohnsonOwner, Founder · (931) 436-8197

Enumeration DateFebruary 18, 2025

Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1053116483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

5703 LACHMAN AVE NE, Albertville, MN 55301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evernorth Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evernorth Clinic, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amanda Johnson, CPNP

Nurse Practitioner

NPI 1851060636

5703 LACHMAN AVE NE
Albertville, MN 55301

(763) 284-1877

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Clinic, PLLC's NPI number?

The NPI number for Evernorth Clinic, PLLC is 1053116483. It was assigned to this organization in the NPPES registry on February 18, 2025.

Where is Evernorth Clinic, PLLC located?

Evernorth Clinic, PLLC is located at 5703 Lachman Ave NE, Albertville, MN 55301. The listed phone number is (763) 284-1877.

What is Evernorth Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Evernorth Clinic, PLLC enrolled in Medicare?

Yes. Evernorth Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evernorth Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Evernorth Clinic, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Evernorth Clinic, PLLC accept?

Health plans from HealthPartners list Evernorth Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evernorth Clinic, PLLC was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.