EVERGREEN CHIROPRACTIC SC
NPI 1720867047
Chiropractor in Cedarburg, WI
About Evergreen Chiropractic Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN CHIROPRACTIC SC (NPI 1720867047) is a healthcare organization registered as a chiropractor in Cedarburg, Wisconsin and active in the NPI registry since September 2023. The organization lists Amanda Elyse Eberle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Chiropractic Sc 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 Chiropractic Sc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Chiropractic Sc's NPI number?
The NPI number for Evergreen Chiropractic Sc is 1720867047. It was assigned to this organization in the NPPES registry on September 26, 2023.
Where is Evergreen Chiropractic Sc located?
Evergreen Chiropractic Sc is located at W69n968 Washington Ave, Cedarburg, WI 53012. The listed phone number is (262) 375-4001.
What is Evergreen Chiropractic Sc's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Evergreen Chiropractic Sc enrolled in Medicare?
Yes. Evergreen Chiropractic Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evergreen Chiropractic Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Evergreen Chiropractic Sc. 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 Chiropractic Sc was last updated on August 29, 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.
# Evergreen Chiropractic Sc · NPI 1720867047
Chiropractor organization in Cedarburg, Wisconsin. Organization record, active in the CMS NPPES registry since September 26, 2023.
## Identity
- **NPI:** 1720867047 (Entity type: Organization)
- **Enumerated:** September 26, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Amanda Eberle, OWNER
## Practice location
- **Address:** W69N968 WASHINGTON AVE, Cedarburg, WI 53012-3207
- **Phone:** (262) 375-4001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1720867047) · Data from the CMS NPPES public registry.