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EVERGREEN HEALING CENTER, LLC
NPI 1578892147
Nurse Practitioner - Family in Bangor, ME

Active since December 10, 2009
224 STATE ST, BANGOR, ME 04401(207) 512-0584(207) 990-6604 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2020, Feb 4, 2016 (2 updates tracked since 2016).

About Evergreen Healing Center, Llc NPPES

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

EVERGREEN HEALING CENTER, LLC (NPI 1578892147) is a healthcare organization registered as a family in Bangor, Maine and active in the NPI registry since December 2009. The organization lists Laura Tremaine Bridgman, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1578892147
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEVERGREEN HEALING CENTER, LLC
Location Address224 STATE STBangor, ME 04401-3434
Mailing Address218 Cottrell RdDixmont, ME 04932-3246 · (207) 512-0584 · Fax (207) 234-4334
Phone(207) 512-0584
Fax(207) 990-6604
Organization SubpartNo
Authorized OfficialLaura Tremaine BridgmanFamily Nurse Practitioner · (207) 512-0584
Enumeration DateDecember 10, 2009
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1578892147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNaturopathTaxonomy 175F00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License AP081246 (ME)
224 STATE ST, Bangor, ME 04401
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Other Identifiers 1

Medicaid246520000ME

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Healing Center, 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 Healing Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Laura Bridgman, F.N.P., N.D.
Nurse Practitioner
NPI 1043315658
218 COTTRELL RD
Dixmont, ME 04932
(207) 512-0584
✔ PECOS19 mi

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 Healing Center, LLC's NPI number?

The NPI number for Evergreen Healing Center, LLC is 1578892147. It was assigned to this organization in the NPPES registry on December 10, 2009.

Where is Evergreen Healing Center, LLC located?

Evergreen Healing Center, LLC is located at 224 State St, Bangor, ME 04401. The listed phone number is (207) 512-0584.

What is Evergreen Healing Center, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Evergreen Healing Center, LLC enrolled in Medicare?

Yes. Evergreen Healing Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Healing Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Evergreen Healing Center, 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 Healing Center, LLC was last updated on October 26, 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.