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DR. ATHENA TUDINO MD
NPI 1285294454
Obstetrics & Gynecology in Olympia, WA

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
615 LILLY RD NE STE 200, OLYMPIA, WA 98506(360) 413-8413(360) 413-7143 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2023, Jun 19, 2019 (2 updates tracked since 2019).

About Dr. Athena Tudino Md NPPES

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

DR. ATHENA TUDINO MD (NPI 1285294454) is an individual obstetrics & gynecology provider in Olympia, Washington, licensed in Washington (MD61422174) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285294454
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ATHENA TUDINOCredential: MD
Location Address615 LILLY RD NE STE 200Olympia, WA 98506-5137
Mailing AddressPo Box 3360Portland, OR 97208-3360
Phone(360) 413-8413
Fax(360) 413-7143
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 19, 2019
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1285294454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WA · MD61422174
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
615 LILLY RD NE STE 200, Olympia, WA 98506
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Athena Tudino 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 ID8820445703
PECOS Enrollment IDI20231115000058
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 Athena Tudino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Washington
0.1 mi
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1174744304 (360) 793-7230
Obhg Washington, PC
42 mi
Obstetrics & Gynecology
1800 NW MYHRE RD
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 223 clinicians in this Medicare group
NPI 1962729525 (800) 967-2289

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

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

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 19

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

AMANDA NICOLE CLAUSON CNM, ARNP
Advanced Practice Midwife
615 LILLY RD NE STE 200
OLYMPIA, WA 98506
Thurston County (360) 413-8413
OLIVIA ROSENFELD CNM
Midwife
615 LILLY RD NE STE 200
OLYMPIA, WA 98506
Thurston County (612) 998-1396
PUNEET BHULLAR MD
Obstetrics & Gynecology
615 LILLY RD NE STE 200
OLYMPIA, WA 98506
Thurston County (360) 413-8413
KATIE ELIZABETH WODAEGE CNM, ARNP
Advanced Practice Midwife
615 LILLY RD NE STE 200
OLYMPIA, WA 98506
Thurston County (360) 413-8413
MS. KELLY LYNN ELLIS BSN, RN, CDCES
Registered Nurse (Diabetes Educator)
615 LILLY RD NE STE 200
OLYMPIA, WA 98506
Thurston County (360) 413-8413
JILLIAN KING ARNP
Advanced Practice Midwife
615 LILLY RD NE STE 200
OLYMPIA, WA 98506
Thurston County (360) 413-8413
BRITTANY PEDERSEN RN
Registered Nurse
615 LILLY RD NE STE 200
OLYMPIA, WA 98506
Thurston County (360) 413-8413
MRS. SHARON A HINZ CNM,ARNP
Advanced Practice Midwife
615 LILLY RD NE STE 200
OLYMPIA, WA 98506
Thurston County (360) 413-8413

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 Athena Tudino's NPI number?

The NPI number for Athena Tudino is 1285294454. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Athena Tudino located?

Athena Tudino practices at 615 Lilly Rd NE Ste 200, Olympia, WA 98506. The listed phone number is (360) 413-8413.

What is Athena Tudino's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Athena Tudino enrolled in Medicare?

Yes. Athena Tudino 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 Athena Tudino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Athena Tudino reassigns Medicare benefits to 2 organizations: Providence Health & Services Washington (Olympia, WA) and Obhg Washington, PC (Silverdale, WA). 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 Athena Tudino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Athena Tudino accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Athena Tudino 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 Athena Tudino affiliated with any hospitals?

According to CMS data, Athena Tudino is affiliated with Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Athena Tudino was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.