MS. EVELINA AVETISOVA AGPC-NP
NPI 1609657816
Nurse Practitioner - Gerontology in Shoreline, WA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Evelina Avetisova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shoreline, WA 98133
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Iora Health Washington Physicians PC
- 50 clinicians in this Medicare group
Vancouver, WA 98686
- Reassigned Medicare billing, Washington and Oregon enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1093043424 (Oregon)
- 2,534 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.
Swedish Edmonds Hospital
Acute Care Hospitals · Edmonds, WAPhysician 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.
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.
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 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.
Where is Evelina Avetisova located?
Evelina Avetisova practices at 15214 Aurora Ave N, Shoreline, WA 98133. The listed phone number is (888) 405-6396.
What is Evelina Avetisova's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Evelina Avetisova enrolled in Medicare?
Yes. Evelina Avetisova 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 Evelina Avetisova's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evelina Avetisova reassigns Medicare benefits to 2 organizations: Iora Health Washington Physicians, P.C. (Shoreline, WA) and Manor Care Of Salmon Creek Wa, Association (Vancouver, 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 Evelina Avetisova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Evelina Avetisova affiliated with any hospitals?
According to CMS data, Evelina Avetisova is affiliated with Swedish Edmonds Hospital.
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 13 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.
# Ms. Evelina Avetisova, AGPC-NP · NPI 1609657816
Gerontology physician in Shoreline, Washington. Individual provider, active in the CMS NPPES registry since October 12, 2023.
## Identity
- **NPI:** 1609657816 (Entity type: Individual)
- **Enumerated:** October 12, 2023
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** AP61494666 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15214 AURORA AVE N, Shoreline, WA 98133-6143
- **Phone:** (888) 405-6396 · **Fax:** (415) 252-7176
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Iora Health Washington Physicians, P.C. (NPI 1275042053, Shoreline, WA); Manor Care Of Salmon Creek Wa, Association (NPI 1609171081, Vancouver, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609657816) · Data from the CMS NPPES public registry.