Envoy Health Management LLC – Community/Retail Pharmacy, NPI 1922181650
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Envoy Health Management LLC
PO BOX 851378
MINNEAPOLIS, MN 554851378
Phone: (810) 768-9429
Fax: (855) 603-5113
Type: Mailing
1 OPTUM CIR STE 100
EDEN PRAIRIE, MN 553442503
Phone: (800) 328-5979
Type: Mailing
325 W. ATHERTON RD
SUITE 1
FLINT, MI 48507
Phone: (855) 768-9727
Fax: (866) 991-9929
Type: Location
4100, South Saginaw Street, Flint, Genesee County, Michigan, 48507, United States
FLINT, MI 485072683
Phone: (855) 695-4748
Fax: (866) 410-3762
Type: Mailing
325, West Atherton Road, Flint, Genesee County, Michigan, 48507, United States
FLINT, MI 48507
Phone: (855) 695-4748
Fax: (866) 410-3762
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (316 days ago).
Enrollment records
1
Earliest due date
2025-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20191015003168 | O | Pharmacy | MI | 2025-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55485)
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