Lisa Nichole Evanoff, PA-C, RD is a medicare enrolled "Physician Assistant" provider in Seattle, Washington. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
4800 Sand Point Way Ne, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 987-2000.
Lisa Nichole Evanoff is licensed to practice in Washington (license number PA.PA.70094994) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1629730502.
Healthcare Provider's Profile
| Full Name | Lisa Nichole Evanoff |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 4800 Sand Point Way Ne, Seattle, Washington |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Nichole Evanoff graduated from medical school in 2025
NPI Data:
- NPI Number: 1629730502
- Provider Enumeration Date: 10/08/2021
- Last Update Date: 03/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 7416423595
- Enrollment ID: I20260416000799
Medical Identifiers
Medical identifiers for Lisa Nichole Evanoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629730502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DIET.DI.61590015 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA.PA.70094994 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Nichole Evanoff is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lisa Nichole Evanoff, PA-C, RD
4800 Sand Point Way Ne,
Seattle, WA 98105-3901
Ph: () - | Lisa Nichole Evanoff, PA-C, RD
4800 Sand Point Way Ne,
Seattle, WA 98105-3901
Ph: (206) 987-2000 |
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