Evergreen Healthcare Clinic Limited Liability Company
NPI 1659162402 · Psychiatric/Mental Health Nurse Practitioner · Germantown, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Healthcare Clinic Limited Liability Company is a Psychiatric/Mental Health Nurse Practitioner organization in Germantown, MD (NPI 1659162402).
Provider details
- NPI number
- 1659162402
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Yvette Ledjo, Ceo(240) 644-5570
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-13
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Evergreen Healthcare Clinic Limited Liability Company's NPI number?
- Evergreen Healthcare Clinic Limited Liability Company's National Provider Identifier (NPI) is 1659162402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Healthcare Clinic Limited Liability Company?
- Evergreen Healthcare Clinic Limited Liability Company is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Evergreen Healthcare Clinic Limited Liability Company located?
- Evergreen Healthcare Clinic Limited Liability Company's practice location on file with NPPES is 12 Indian Grass Ct, Germantown, MD 20874-2930.
- What is Evergreen Healthcare Clinic Limited Liability Company's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Healthcare Clinic Limited Liability Company is (240) 644-5570.
- Does Evergreen Healthcare Clinic Limited Liability Company accept Medicare?
- Evergreen Healthcare Clinic Limited Liability Company is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evergreen Healthcare Clinic Limited Liability Company?
- The authorized official listed on Evergreen Healthcare Clinic Limited Liability Company's NPPES record is Yvette Ledjo, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Healthcare Clinic Limited Liability Company's NPI active?
- Yes — Evergreen Healthcare Clinic Limited Liability Company's NPI (1659162402) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.