HERMENIGILDA ANG EUSEBIO FNP
NPI 1366135931
Nurse Practitioner - Family in Puyallup, WA
About Hermenigilda Ang Eusebio Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERMENIGILDA ANG EUSEBIO FNP (NPI 1366135931) is an individual family provider in Puyallup, Washington, licensed in Washington (AP61592114) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Hermenigilda Ang Eusebio Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Hermenigilda Eusebio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
The Dalles, OR 97058
- Reassigned Medicare billing, Washington enrollment
- 24 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Medical Center
Acute Care Hospitals · Tacoma, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PUYALLUP, WA 98373
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 Hermenigilda Eusebio's NPI number?
The NPI number for Hermenigilda Eusebio is 1366135931. It was assigned to this individual provider in the NPPES registry on May 31, 2023.
Where is Hermenigilda Eusebio located?
Hermenigilda Eusebio practices at 2930 S Meridian Ste 200, Puyallup, WA 98373. The listed phone number is (253) 445-7600.
What is Hermenigilda Eusebio's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hermenigilda Eusebio enrolled in Medicare?
Yes. Hermenigilda Eusebio 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 organization bills Medicare for Hermenigilda Eusebio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hermenigilda Eusebio reassigns Medicare benefits to Clear Choice Dermatology (The Dalles, OR). The 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 Hermenigilda Eusebio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hermenigilda Eusebio accept?
Health plans from Ambetter Health, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Hermenigilda Eusebio 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 Hermenigilda Eusebio affiliated with any hospitals?
According to CMS data, Hermenigilda Eusebio is affiliated with St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Hermenigilda Eusebio was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Hermenigilda Ang Eusebio, FNP · NPI 1366135931
Family physician in Puyallup, Washington. Individual provider, active in the CMS NPPES registry since May 31, 2023.
## Identity
- **NPI:** 1366135931 (Entity type: Individual)
- **Enumerated:** May 31, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61592114 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2930 S MERIDIAN STE 200, Puyallup, WA 98373-1654
- **Phone:** (253) 445-7600 · **Fax:** (253) 864-5999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Clear Choice Dermatology (NPI 1891327185, The Dalles, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 1, 2025
- **Other identifiers:** Medicaid 2314753 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1366135931) · Data from the CMS NPPES public registry.