Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Evelina Avetisova, AGPC-NP

Individual provider Gerontology Nurse Practitioner · NPI 1609657816

MS. Evelina Avetisova, AGPC-NP is a Nurse Practitioner in Shoreline, Washington. Qualified in 2023, 3 years ago. Practices with Iora Health Washington Physicians PC, a 36-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
3
Licensed in
OR, WA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

15214 Aurora Ave N
Shoreline, WA 98133-6143
Phone: (888) 405-6396
Fax: (415) 252-7176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP61494666 (WA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 10017243 (OR)

Record details

NPI number1609657816
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPC-NP
Sole proprietorYes
NPI enumeratedOctober 12, 2023
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Iora Health Washington Physicians Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services