LU ANDICH EVERGREEN MSW
NPI 1487156154
Social Worker - Clinical in Ann Arbor, MI

Active since March 08, 2018PECOS EnrolledAccepts Medicare Assignment
4250 PLYMOUTH RD, ANN ARBOR, MI 48109(734) 764-0231 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2022, Apr 29, 2022, Apr 12, 2018 and 1 more (4 updates tracked since 2018).

About Lu Andich Evergreen Msw NPPES

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

LU ANDICH EVERGREEN MSW (NPI 1487156154) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6801108809) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1487156154
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLU ANDICH EVERGREENCredential: MSW
Location Address4250 PLYMOUTH RDAnn Arbor, MI 48109-2700
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 8, 2018
Last NPPES UpdateOctober 20, 20224 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1487156154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801108809
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4250 PLYMOUTH RD, Ann Arbor, MI 48109

Other Names 1

Other Name (5)Lucy Renae Andich

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lu Andich Evergreen Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749542116
PECOS Enrollment IDI20220728001001
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lu Evergreen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
  • Reassigned Medicare billing, Michigan enrollment
  • 80 clinicians in this Medicare group
Community/Behavioral Health
3500 HARMONY CT
Muscatine, IA 52761
  • Reassigned Medicare billing, Iowa enrollment
  • 36 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Psychologist (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Nurse Practitioner
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Psychologist (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Social Worker (Clinical)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Nurse Practitioner
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Psychiatry & Neurology (Psychiatry)
4250 PLYMOUTH RD
ANN ARBOR, MI 48109
Specialist
4250 PLYMOUTH RD, RACHEL UPJOHN BUILDING
ANN ARBOR, MI 48109

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 Lu Evergreen's NPI number?

The NPI number for Lu Evergreen is 1487156154. It was assigned to this individual provider in the NPPES registry on March 8, 2018. The provider is also known as Lucy Renae Andich.

Where is Lu Evergreen located?

Lu Evergreen practices at 4250 Plymouth Rd, Ann Arbor, MI 48109. The listed phone number is (734) 764-0231.

What is Lu Evergreen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lu Evergreen enrolled in Medicare?

Yes. Lu Evergreen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lu Evergreen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lu Evergreen reassigns Medicare benefits to 2 organizations: Regents Of The University Of Michigan (Ann Arbor, MI) and Optimae Lifeservices,inc. (Muscatine, IA). Each 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 Lu Evergreen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lu Evergreen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Lu Evergreen 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.

Is Lu Evergreen affiliated with any hospitals?

According to CMS data, Lu Evergreen is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Lu Evergreen was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.