ELLISE GAYLE GARCIA CARLOS
NPI 1336918747
Nurse Practitioner - Women's Health in Kirkland, WA

Q: What is Ellise Gayle Carlos's NPI number?

The NPI number for Ellise Gayle Carlos is 1336918747. It was assigned to this individual provider in the NPPES registry on December 27, 2023.

Q: What is Ellise Gayle Carlos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since December 27, 2023PECOS EnrolledAccepts Medicare Assignment

12303 NE 130TH LN STE CORAL320, KIRKLAND, WA 98034(425) 899-3602 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ellise Gayle Garcia Carlos NPPES

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

ELLISE GAYLE GARCIA CARLOS (NPI 1336918747) is an individual women's health provider in Kirkland, Washington, licensed in Washington (AP61501892) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and is a graduate of Georgetown University School Of Medicine (2023).

NPPES Registry Identity

NPI1336918747

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameELLISE GAYLE GARCIA CARLOS

Location Address12303 NE 130TH LN STE CORAL320Kirkland, WA 98034-3099

Mailing Address12303 Ne 130th Ln Ste Coral320Kirkland, WA 98034-3099

Phone(425) 899-3602

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2023

Enumeration DateDecember 27, 2023

Last NPPES UpdateNovember 13, 2024

NPPES CertifiedNovember 13, 2024

✔ NPI 1336918747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in WA · AP61501892

Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License AP61501892 (WA)

12303 NE 130TH LN STE CORAL320, Kirkland, WA 98034

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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

Ellise Gayle Garcia Carlos 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 ID6709220262

PECOS Enrollment IDI20240223000509

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.

Hospital Affiliations CMS Care Compare

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

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500124

Location12040 NE 128th StreetKirkland, WA 98034 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

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 Ellise Gayle Carlos's NPI number?

The NPI number for Ellise Gayle Carlos is 1336918747. It was assigned to this individual provider in the NPPES registry on December 27, 2023.

Where is Ellise Gayle Carlos located?

Ellise Gayle Carlos practices at 12303 NE 130th Ln Ste Coral320, Kirkland, WA 98034. The listed phone number is (425) 899-3602.

What is Ellise Gayle Carlos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Ellise Gayle Carlos enrolled in Medicare?

Yes. Ellise Gayle Carlos 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 Ellise Gayle Carlos accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ellise Gayle Carlos 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 Ellise Gayle Carlos affiliated with any hospitals?

According to CMS data, Ellise Gayle Carlos is affiliated with Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Ellise Gayle Carlos was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.