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Lisa Nichole Evanoff , PA-C, RD

Physician Assistant β€’ Seattle, WA

Active NPI 1629730502 Individual Practitioner Female Practitioner
Practice location in NPPES

4800 Sand Point Way Ne
Seattle, WA 981053901

Call 2069872000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4800 Sand Point Way Ne

Seattle, WA 981053901

Telephone 2069872000
Organization at the Same NPPES Address or Phone
Seattle Children's Hospital Facility NPI 1467536276

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Lisa Evanoff has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Lisa Evanoff as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Seattle and Washington

828 active clinicians are listed under Physician Assistant with a practice address in Seattle, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Seattle

19% of these 828 clinicians have the CMS telehealth indicator.

67.3% of these 828 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA.PA.70094994

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES WA DIET.DI.61590015

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260416000799

Enrollment State Jurisdiction

WA

PECOS Control ID

7416423595

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Rachel Kay , MD

Psychiatry & Neurology - Psychiatry

NPI 1013470434

Doctor of Medicine (M.D.)

NPI 1013168673

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location March 23, 2026

Registered at 4800 SAND POINT WAY NE, SEATTLE, WA 981053901 (Tel: 2069872000)

πŸ“
Updated Business Mailing Address March 23, 2026

Registered at 4800 SAND POINT WAY NE, SEATTLE, WA 981053901

πŸ‘€
Provider Name / Credentials Updated March 23, 2026

Recorded as LISA EVANOFF, PA-C, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2026

Dietitian, Registered (license number reported to NPPES: WA DIET.DI.61590015)

βœ…
NPI Profile Active October 08, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 08, 2021

Registered at 300 LONGWOOD AVE # FEGAN5, BOSTON, MA 021155724 (Tel: 6173554677)

πŸ“
Business Mailing Address (Initial Record) October 08, 2021

Registered at 300 LONGWOOD AVE # FEGAN5, BOSTON, MA 021155724

πŸ‘€
Provider Name / Credentials (Initial Record) October 08, 2021

Recorded as LISA EVANOFF, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2021

Dietitian, Registered (license number reported to NPPES: MA 284656)

🟒
Initial NPI Registration & Enumeration October 08, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629730502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2021
Last Update: March 23, 2026
Sole Proprietor: No

Other Physician Assistants in Seattle

All Physician Assistants in Seattle

Mailing Address

4800 Sand Point Way Ne

Seattle, WA 981053901

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.