Ms Evelina Avetisova, AGPC-NP in Shoreline, WA

Ms Evelina Avetisova, AGPC-NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Shoreline, Washington. Her current practice location is 15214 Aurora Ave N, Shoreline, Washington. You can reach out to her office (for appointments etc.) via phone at (888) 405-6396.

Ms Evelina Avetisova is licensed to practice in Washington (license number AP61494666) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609657816.

Contact Information

	Ms Evelina Avetisova, AGPC-NP
	15214 Aurora Ave N, Shoreline, WA 98133-6143
	(888) 405-6396
	(415) 252-7176

Map and Direction

Provider's Profile

Full Name	Ms Evelina Avetisova
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	15214 Aurora Ave N, Shoreline, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609657816
Provider Enumeration Date: 10/12/2023
Last Update Date: 09/17/2025

Medicare PECOS Information:

PECOS PAC ID: 4688022783
Enrollment ID: I20231130000786

Medical Identifiers

Medical identifiers for Ms Evelina Avetisova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609657816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	10017243 (Oregon)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP61494666 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Evelina Avetisova allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

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. Ms Evelina Avetisova 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
Ms Evelina Avetisova, AGPC-NP 104 Solomon Rd Apt G302, Kelso, WA 98626-1772 Ph: (323) 372-4190	Ms Evelina Avetisova, AGPC-NP 15214 Aurora Ave N, Shoreline, WA 98133-6143 Ph: (888) 405-6396

Reviews and Comments

Nurse Practitioner Nurses in Shoreline, WA

Ms. Mary Elizabeth Cain, ARNP, MC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1424 Ne 155th St Ste 205, Shoreline, WA 98155 Phone: 206-361-2379 Fax: 206-523-2978
David Zane, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 15th Ave Ne, B17-31, Shoreline, WA 98155 Phone: 206-361-3087 Fax: 206-361-5246
Janice Lin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16549 Aurora Ave N, Shoreline, WA 98133 Phone: 206-533-2600
Suzanne K Bladek, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 Nw Richmond Beach Rd, Shoreline, WA 98177 Phone: 206-546-5181 Fax: 206-546-6575
Amy Braun Boone, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19521 22nd Ave Nw, Shoreline, WA 98177 Phone: 206-542-7408
Dr. Maya Pilar Isaguirre, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16628 Meridian Ave N, Shoreline, WA 98133 Phone: 810-618-3572
Kyle Danielson, MPH, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 N 205th St, Shoreline, WA 98133 Phone: 206-542-5656

Ms Evelina Avetisova, AGPC-NP - Medicare Nurse Practitioner in Shoreline, WA