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TRISTIN MARIE ACCUARDI DNP-FNP
NPI 1366970758
Nurse Practitioner - Family in Astoria, OR

Active since May 30, 2017PECOS EnrolledAccepts Medicare Assignment
2265 EXCHANGE ST, ASTORIA, OR 97103(503) 338-4050(503) 338-4051 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2025, May 30, 2017 (2 updates tracked since 2017).

About Tristin Marie Accuardi Dnp-fnp NPPES

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

TRISTIN MARIE ACCUARDI DNP-FNP (NPI 1366970758) is an individual family provider in Astoria, Oregon, licensed in Oregon (10013335) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Happy Valley, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366970758
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRISTIN MARIE ACCUARDICredential: DNP-FNP
Location Address2265 EXCHANGE STAstoria, OR 97103-3331
Mailing Address2111 Exchange StAstoria, OR 97103-3329 · (503) 325-4321
Phone(503) 338-4050
Fax(503) 338-4051
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 30, 2017
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1366970758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 10013335
2265 EXCHANGE ST, Astoria, OR 97103
Open in Google Maps ↗

Other Names 1

Former Name (1)Tristin Marie Browning Rn

Secondary Practice Location 1

Location 19200 SE 91St Ave Ste 200Happy Valley, OR 97086-3756 · Phone (971) 801-1373 · Fax (971) 801-1401

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, BridgeSpan Health Company, PacificSource Health Plans and more.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

Tristin Marie Accuardi Dnp-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.

PECOS PAC ID2668834268
PECOS Enrollment IDI20230814003539, I20250806002794
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

3

Medicare enrollment records show Tristin Accuardi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia Lutheran Charities
Same address
Critical Access
550 22ND ST
Astoria, OR 97103
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1134146939 (Oregon)
  • 278 clinicians in this Medicare group
NPI 1700809761 (503) 338-7595
Center For Vein Restoration Or LLC
192 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2200 NE NEFF RD STE 204
Bend, OR 97701
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • 11 clinicians in this Medicare group
NPI 1154270445 (855) 830-8346
Inovia LLC
192 mi
Vascular Surgery
2200 NE NEFF RD STE 204
Bend, OR 97701
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • 13 clinicians in this Medicare group
NPI 1376753442 (541) 382-8346

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97103 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

MILAN KOPECKY
Physical Therapy Assistant
2265 EXCHANGE ST
ASTORIA, OR 97103
Clatsop County (503) 338-7555
SHANAH NELSON FNP
Nurse Practitioner (Family)
2265 EXCHANGE ST
ASTORIA, OR 97103
Clatsop County (503) 338-4050
RYAN CALDWELL
Physical Therapy Assistant
2265 EXCHANGE ST
ASTORIA, OR 97103
Clatsop County (503) 338-7555
DR. DANIEL CHARLES FABIANO MD
Orthopaedic Surgery (Sports Medicine)
2265 EXCHANGE ST
ASTORIA, OR 97103
Clatsop County (503) 338-4075
GREGORY M. SMITH PA-C
Physician Assistant
2265 EXCHANGE ST
ASTORIA, OR 97103
Clatsop County (503) 338-4050
AMBER AMARIS HULL D.O.
Pediatrics
2265 EXCHANGE ST
ASTORIA, OR 97103
Clatsop County (503) 325-7337
MR. TERRY DEAN HOLLOWELL FNP
Nurse Practitioner (Family)
2265 EXCHANGE ST
ASTORIA, OR 97103
Clatsop County (503) 338-4050
MRS. CARYN LYNN HILMES LCSW
Social Worker (Clinical)
2265 EXCHANGE ST
ASTORIA, OR 97103
Clatsop County (503) 338-4075

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 Tristin Accuardi's NPI number?

The NPI number for Tristin Accuardi is 1366970758. It was assigned to this individual provider in the NPPES registry on May 30, 2017. The provider is also known as Tristin Marie Browning Rn.

Where is Tristin Accuardi located?

Tristin Accuardi practices at 2265 Exchange St, Astoria, OR 97103. The listed phone number is (503) 338-4050.

What is Tristin Accuardi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tristin Accuardi enrolled in Medicare?

Yes. Tristin Accuardi 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 Tristin Accuardi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tristin Accuardi reassigns Medicare benefits to 3 organizations: Columbia Lutheran Charities (Astoria, OR), Center For Vein Restoration Or LLC (Bend, OR) and Inovia LLC (Bend, OR). 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 Tristin Accuardi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tristin Accuardi accept?

Health plans from Ambetter Health, BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Tristin Accuardi 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 Tristin Accuardi was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.