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ELIZAVETA HERMANN
NPI 1124321419
Physician Assistant in Issaquah, WA

Active since December 08, 2010PECOS EnrolledAccepts Medicare Assignment
1301 4TH AVE NW STE 302, ISSAQUAH, WA 98027(206) 957-9329(253) 839-7166 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 24, 2024, Apr 13, 2021 (2 updates tracked since 2021).

About Elizaveta Hermann NPPES

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

ELIZAVETA HERMANN (NPI 1124321419) is an individual physician assistant in Issaquah, Washington, licensed in Washington (PA60631950) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1124321419
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZAVETA HERMANN
Location Address1301 4TH AVE NW STE 302Issaquah, WA 98027-9371
Mailing Address1793 13th St SeSalem, OR 97302-2541 · (503) 362-8385 · Fax (503) 362-8435
Phone(206) 957-9329
Fax(253) 839-7166
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 8, 2010
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1124321419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA60631950
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1301 4TH AVE NW STE 302, Issaquah, WA 98027
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Secondary Practice Locations 2

Location 13216 NE 45th Pl Ste 203Seattle, WA 98105-4028 · Phone (206) 525-1168 · Fax (206) 525-1169
Location 28435 SE 68th St Ste 118Mercer Island, WA 98040-5249 · Phone (206) 232-7546 · Fax (206) 525-1169

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Elizaveta Hermann 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 ID5799909552
PECOS Enrollment IDI20160826002189
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
453 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
243 services184 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
150 services113 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
143 services94 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
116 services95 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98027 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. MATTHEW CRAIG GORDON M.D.
Dermatology
1301 4TH AVE NW STE 302
ISSAQUAH, WA 98027
King County (206) 957-9329

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 Elizaveta Hermann's NPI number?

The NPI number for Elizaveta Hermann is 1124321419. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Where is Elizaveta Hermann located?

Elizaveta Hermann practices at 1301 4th Ave NW Ste 302, Issaquah, WA 98027. The listed phone number is (206) 957-9329.

What is Elizaveta Hermann's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elizaveta Hermann enrolled in Medicare?

Yes. Elizaveta Hermann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elizaveta Hermann accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Elizaveta Hermann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizaveta Hermann was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.