EVERGREEN HEALTH AND LIFE
NPI 1659198091
Community/Behavioral Health in Middletown, MD

Active since September 25, 2024
100 MIDDLETOWN PKWY, SUITE 202 PMB# 40, MIDDLETOWN, MD 21769(240) 934-0090(240) 348-8621 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Evergreen Health And Life NPPES

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

EVERGREEN HEALTH AND LIFE (NPI 1659198091) is a healthcare organization registered as a community/behavioral health in Middletown, Maryland and active in the NPI registry since September 2024. The organization lists Lindsay Brooke Bitto, Founder, Ceo, Np, as its authorized official.

NPPES Registry Identity

NPI1659198091
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEVERGREEN HEALTH AND LIFE
Location Address100 MIDDLETOWN PKWY, SUITE 202 PMB# 40Middletown, MD 21769
Mailing Address100 Middletown Pkwy, Suite 202 Pmb# 40Middletown, MD 21769
Fax(240) 348-8621
Organization SubpartNo
Authorized OfficialLindsay Brooke BittoFounder, Ceo, Np · (240) 934-0090
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1659198091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
100 MIDDLETOWN PKWY, Middletown, MD 21769

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 And Life 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 Health And Life, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1972904845
110 THOMAS JOHNSON DR STE 335
Frederick, MD 21702
(301) 624-5566
✔ PECOS✔ Accepts Medicare6.7 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 Health And Life's NPI number?

The NPI number for Evergreen Health And Life is 1659198091. It was assigned to this organization in the NPPES registry on September 25, 2024.

Where is Evergreen Health And Life located?

Evergreen Health And Life is located at 100 Middletown Pkwy Suite 202 Pmb# 40, Middletown, MD 21769. The listed phone number is (240) 934-0090.

What is Evergreen Health And Life's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Evergreen Health And Life enrolled in Medicare?

Yes. Evergreen Health And Life is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Health And Life?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Evergreen Health And Life. 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 Health And Life was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.