MS. EVELINA AVETISOVA AGPC-NP
NPI 1609657816
Nurse Practitioner - Gerontology in Shoreline, WA

Q: What is Evelina Avetisova's NPI number?

The NPI number for Evelina Avetisova is 1609657816. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Q: What is Evelina Avetisova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Evelina Avetisova was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 12, 2023PECOS EnrolledAccepts Medicare Assignment

15214 AURORA AVE N, SHORELINE, WA 98133(888) 405-6396(415) 252-7176 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Oct 12, 2023 (2 updates tracked since 2023).

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About Ms. Evelina Avetisova Agpc-np NPPES

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

MS. EVELINA AVETISOVA AGPC-NP (NPI 1609657816) is an individual gerontology provider in Shoreline, Washington, licensed in Washington (AP61494666) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609657816

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMS. EVELINA AVETISOVACredential: AGPC-NP

Location Address15214 AURORA AVE NShoreline, WA 98133-6143

Mailing Address104 Solomon Rd Apt G302Kelso, WA 98626-1772 · (323) 372-4190

Phone(888) 405-6396

Fax(415) 252-7176

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 12, 2023

Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1609657816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in WA · AP61494666✔ Licensed in OR · 10017243

15214 AURORA AVE N, Shoreline, WA 98133

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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

Ms. Evelina Avetisova Agpc-np 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 ID4688022783

PECOS Enrollment IDI20231130000786

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.

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500026

Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98133 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.

Other Providers at the Same Location NPPES 11

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

MARTIN D LEVINE M.D.

Family Medicine