ELLY MCEACHERN
NPI 1063305803
Nurse Practitioner in Yakima, WA

Q: What is Elly Mceachern's NPI number?

The NPI number for Elly Mceachern is 1063305803. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Q: What is Elly Mceachern's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Elly Mceachern was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since May 30, 2025PECOS EnrolledAccepts Medicare Assignment

602 E NOB HILL BLVD, YAKIMA, WA 98901(509) 248-3334 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2025, May 30, 2025 (2 updates tracked since 2025).

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About Elly Mceachern NPPES

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

ELLY MCEACHERN (NPI 1063305803) is an individual nurse practitioner in Yakima, Washington, licensed in Washington (AP70040212) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063305803

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELLY MCEACHERN

Location Address602 E NOB HILL BLVDYakima, WA 98901-3534

Mailing Address5221 78th Avenue Ct WUniversity Place, WA 98467-1966 · (253) 365-7049

Phone(509) 248-3334

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 30, 2025

Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1063305803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP70040212

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN61346113 (WA), 61346113 (WA)

602 E NOB HILL BLVD, Yakima, WA 98901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elly Mceachern is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658876636

PECOS Enrollment IDI20250923001748

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER WILLIAMS

Physician Assistant