Evergreen Primary Care Pllc

Evergreen Primary Care Pllc is a healthcare organization registered as Internal Medicine Physician in Eagan, MN, holding Type 2 (organization) NPI 1831768704 since 2021. The authorized official on file is Shary Vang, Member.

✓ Active NPI ✓ Valid NPI checksum

NPI	1831768704
Entity type	Organization (Type 2)
Legal business name	Evergreen Primary Care Pllc
Practice address	1337 WILDERNESS RUN DR, Eagan, MN, 55123
Phone	6128177240
Enumeration date	2021-06-23
Last updated in NPPES	2021-06-23

Authorized official

Name	Shary Vang
Title	Member
Phone	6128177240

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207Q00000X	Family Medicine Physician	Secondary	—	—
207R00000X	Internal Medicine Physician	Primary	—	—

Copy-ready billing details

Provider: Evergreen Primary Care Pllc
NPI: 1831768704
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 1337 WILDERNESS RUN DR, Eagan, MN, 55123

Verify this record

Cross-check NPI 1831768704 against the authoritative CMS record: view Evergreen Primary Care Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Evergreen Primary Care Pllc located?

The practice location on file with NPPES is in Eagan, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-06-23. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-06-23.