EVERGREEN HEALTH SERVICES
NPI 1356390918
Clinic/Center - Primary Care in Buffalo, NY
About Evergreen Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN HEALTH SERVICES (NPI 1356390918) is a healthcare organization registered as a primary care in Buffalo, New York and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Jessica Anne Stack, Avp Of Revenue Cycle Mgmt, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Locations 3
Other Identifiers 2
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 Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
51Medicare enrollment records show 51 clinicians reassign Medicare billing to Evergreen Health Services, which bills Medicare for the services they deliver. Of these, 33 practice at this address and 47 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 51Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D0953352
Evergreen Health Services Inc · Buffalo, NYCertificate of Waiver 33D0881570
Evergreen Health - 800 Hertel · Buffalo, NYFrequently 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 Ehs, Inc.'s NPI number?
The NPI number for Ehs, Inc. is 1356390918. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Evergreen Health Services.
Where is Ehs, Inc. located?
Ehs, Inc. is located at 206 S Elmwood Ave, Buffalo, NY 14201. The listed phone number is (716) 847-0212.
What is Ehs, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Ehs, Inc. enrolled in Medicare?
Yes. Ehs, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ehs, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 11 Medicare specialties reassign their Medicare billing to Ehs, Inc.. 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 Nurse Practitioner (17), Clinical Social Worker (9) and Mental Health Counselor (8). Of these, 33 practice at this address and 47 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ehs, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Ehs, Inc. was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Health Services · NPI 1356390918
Primary Care organization in Buffalo, New York. Organization record, active in the CMS NPPES registry since May 9, 2006.
## Identity
- **NPI:** 1356390918 (Entity type: Organization)
- **Enumerated:** May 9, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Ehs, Inc.
- **Organization subpart:** No
- **Authorized official:** Jessica Stack, AVP OF REVENUE CYCLE MGMT
## Practice location
- **Address:** 206 S ELMWOOD AVE, Buffalo, NY 14201-2398
- **Phone:** (716) 847-0212 · **Fax:** (716) 847-0418
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 51 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Clinical Social Worker (9), Mental Health Counselor (8); 33 practice at this address and 47 within 10 miles; [full list](https://npiprofile.com/npi/1356390918/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2022
- **Other identifiers:** Medicaid 02995357 (NY); Medicaid 0F332484 (NY)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356390918) · Data from the CMS NPPES public registry.