Evergreen Eye Anesthesia PLLC
NPI 1134839319ActiveOrganization· Nurse Anesthetist, Certified Registered· Federal Way, WA
Nurse Anesthetist, Certified Registered in Federal Way, Washington, registered in NPPES in November 2022. The authorized official on file is Suzanne Isom, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134839319 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2022 |
| Last updated in NPPES | Dec 15, 2022 |
| Certified by provider | Dec 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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