ELIZABETH BREANNA EVANGELISTA MD
NPI 1255071882
Family Medicine in Colfax, WA

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment
1200 W FAIRVIEW ST, COLFAX, WA 99111(509) 397-3435 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Breanna Evangelista Md NPPES

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

ELIZABETH BREANNA EVANGELISTA MD (NPI 1255071882) is an individual family medicine provider in Colfax, Washington, licensed in Washington (MD.MD.70004556) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Whitman Hospital And Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255071882
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH BREANNA EVANGELISTACredential: MD
Location Address1200 W FAIRVIEW STColfax, WA 99111-9552
Mailing Address1200 W Fairview StColfax, WA 99111-9552 · (509) 397-3435
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 31, 2022
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1255071882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD.MD.70004556✔ Licensed in CA · A198005
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1200 W FAIRVIEW ST, Colfax, WA 99111

Other Names 1

Former Name (1)Elizabeth Breanna Anderson

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Breanna Evangelista Md 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 ID6608314695
PECOS Enrollment IDI20250829001630
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Evangelista reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1200 W FAIRVIEW RD
Colfax, WA 99111
  • Reassigned Medicare billing, Washington enrollment
  • 69 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
4215 FRONT ST
Shasta Lake, CA 96019
  • Reassigned Medicare billing, California enrollment
  • 144 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Whitman Hospital And Medical Center

Critical Access Hospitals · Colfax, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501327
Location1200 West FairviewColfax, WA 99111 · Whitman County
Emergency services

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501331
Location835 S Bishop BlvdPullman, WA 99163 · Whitman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99111 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.

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.

Nurse Anesthetist, Certified Registered
1200 W FAIRVIEW ST
COLFAX, WA 99111
Nurse Anesthetist, Certified Registered
1200 W FAIRVIEW ST
COLFAX, WA 99111
Nurse Practitioner (Family)
1200 W FAIRVIEW ST
COLFAX, WA 99111
Physical Therapist
1200 W FAIRVIEW ST
COLFAX, WA 99111
Family Medicine
1200 W FAIRVIEW ST
COLFAX, WA 99111
Dietitian, Registered
1200 W FAIRVIEW ST
COLFAX, WA 99111
Medicare Defined Swing Bed Unit
1200 W FAIRVIEW ST
COLFAX, WA 99111
Family Medicine
1200 W FAIRVIEW ST
COLFAX, WA 99111

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 Elizabeth Evangelista's NPI number?

The NPI number for Elizabeth Evangelista is 1255071882. It was assigned to this individual provider in the NPPES registry on March 31, 2022. The provider is also known as Elizabeth Breanna Anderson.

Where is Elizabeth Evangelista located?

Elizabeth Evangelista practices at 1200 W Fairview St, Colfax, WA 99111. The listed phone number is (509) 397-3435.

What is Elizabeth Evangelista's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elizabeth Evangelista enrolled in Medicare?

Yes. Elizabeth Evangelista 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.

Which organizations bill Medicare for Elizabeth Evangelista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Evangelista reassigns Medicare benefits to 2 organizations: Public Hospital District No 3 Of Whitman County (Colfax, WA) and Shasta Community Health Center (Shasta Lake, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Evangelista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Evangelista accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Elizabeth Evangelista 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.

Is Elizabeth Evangelista affiliated with any hospitals?

According to CMS data, Elizabeth Evangelista is affiliated with Whitman Hospital And Medical Center and Pullman Regional Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Evangelista was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.