EVERGREEN CARE SOLUTIONS LLC
NPI 1114654407
Nurse Practitioner - Psychiatric/Mental Health in Gaithersburg, MD

Active since August 05, 2022
325 ELLINGTON BLVD # 117, GAITHERSBURG, MD 20878(336) 254-4619 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Jan 27, 2023, Aug 5, 2022 (3 updates tracked since 2022).

About Evergreen Care Solutions Llc NPPES

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

EVERGREEN CARE SOLUTIONS LLC (NPI 1114654407) is a healthcare organization registered as a psychiatric/mental health in Gaithersburg, Maryland and active in the NPI registry since August 2022. The organization lists Adaku Anike, President, as its authorized official.

NPPES Registry Identity

NPI1114654407
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEVERGREEN CARE SOLUTIONS LLC
Location Address325 ELLINGTON BLVD # 117Gaithersburg, MD 20878-4591
Mailing Address325 Ellington Blvd # 117Gaithersburg, MD 20878-4591 · (617) 379-0496
Organization SubpartNo
Authorized OfficialAdaku AnikePresident · (617) 379-0496
Enumeration DateAugust 5, 2022
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1114654407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
325 ELLINGTON BLVD # 117, Gaithersburg, MD 20878

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evergreen Care Solutions Llc 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 Evergreen Care Solutions LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1184249393
325 ELLINGTON BLVD # 117
Gaithersburg, MD 20878
(240) 801-5860
✔ 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 Evergreen Care Solutions LLC's NPI number?

The NPI number for Evergreen Care Solutions LLC is 1114654407. It was assigned to this organization in the NPPES registry on August 5, 2022.

Where is Evergreen Care Solutions LLC located?

Evergreen Care Solutions LLC is located at 325 Ellington Blvd # 117, Gaithersburg, MD 20878. The listed phone number is (336) 254-4619.

What is Evergreen Care Solutions LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Evergreen Care Solutions LLC enrolled in Medicare?

Yes. Evergreen Care Solutions LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Care Solutions LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Evergreen Care Solutions LLC. 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.

When was this NPI record last updated?

The NPPES record for Evergreen Care Solutions LLC was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.