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

Nicolas Alfonso Elizondo

Individual provider Physician Assistant · NPI 1518420314

Nicolas Alfonso Elizondo is a Physician Assistant in Anacortes, Washington. Qualified in 2018, 8 years ago. Practices with Silver Falls Dermatology LLC, a 98-clinician group and accepts Medicare assignment. Licensed in Texas and Washington.

Years since qualifying
8
Licensed in
TX, WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3110 Commercial Ave Ste 105
Anacortes, WA 98221-2762
Phone: (360) 336-3026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61067492 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA12784 (TX)

Record details

NPI number1518420314
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Silver Falls Dermatology Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Anacortes