EVERGREEN SURGICAL CLINIC
NPI 1144362047
Surgery in Monroe, WA
About Evergreen Surgical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN SURGICAL CLINIC (NPI 1144362047) is a healthcare organization registered as a surgery in Monroe, Washington and active in the NPI registry since February 2007. The organization lists David G. Fitzgerald, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Surgical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
589Medicare enrollment records show 589 clinicians reassign Medicare billing to Evergreen Surgical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 589Source: 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 Proliance Surgeons Inc Ps's NPI number?
The NPI number for Proliance Surgeons Inc Ps is 1144362047. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is doing business as Evergreen Surgical Clinic.
Where is Proliance Surgeons Inc Ps located?
Proliance Surgeons Inc Ps is located at 14841 179th Ave SE Suite 220, Monroe, WA 98272. The listed phone number is (360) 863-8141.
What is Proliance Surgeons Inc Ps's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Proliance Surgeons Inc Ps enrolled in Medicare?
Yes. Proliance Surgeons Inc Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Proliance Surgeons Inc Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 589 clinicians in 27 Medicare specialties reassign their Medicare billing to Proliance Surgeons Inc Ps. 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. The largest specialties are Orthopedic Surgery (169), Physical Therapist in Private Practice (97) and Diagnostic Radiology (64). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Proliance Surgeons Inc Ps was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Evergreen Surgical Clinic · NPI 1144362047
Surgery organization in Monroe, Washington. Organization record, active in the CMS NPPES registry since February 14, 2007.
## Identity
- **NPI:** 1144362047 (Entity type: Organization)
- **Enumerated:** February 14, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Legal business name:** Proliance Surgeons Inc Ps
- **Organization subpart:** No
- **Authorized official:** David Fitzgerald, CEO
## Practice location
- **Address:** 14841 179TH AVE SE, SUITE 220, Monroe, WA 98272-1127
- **Phone:** (360) 863-8141 · **Fax:** (360) 805-9781
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 589 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (169), Physical Therapist in Private Practice (97), Diagnostic Radiology (64); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1144362047/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1144362047) · Data from the CMS NPPES public registry.