Elizaveta Hermann

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60631950 Issued in WA

Practice address

1301 4TH Ave NW Ste 302
Issaquah, WA 98027-9371

Phone

(206) 957-9329

Fax

(253) 839-7166

NPI assigned

Dec 8, 2010

Last updated

Jun 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Puyallup Dermatology Clinic Inc P.S.Group PAC ID 1153313408, 5 clinicians

Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lhermann172583@ghc.direct-ci.net
• Direct secure messaging: liza@dermarts.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Falls Dermatology, LLC

  dba Frontier Dermatology

  • Dermatology Physician
  • Salem, OR
  • NPI 1134375421

  Physician Assistant, WA

  Medicare reassignment Care Compare group NPD
• Puyallup Dermatology Clinic Inc P.S.

  • Specialist
  • Puyallup, WA
  • NPI 1740281344
  Medicare reassignment Care Compare group
• Dermatology Arts, PLLC

  dba Dermatology Arts

  • Medical Specialty Clinic/Center
  • Bellevue, WA
  • NPI 1790103430
  Medicare reassignment
• Silver Falls Dermatology, LLC

  dba Frontier Dermatology

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1417163635
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1124321419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022541",
            "telephone_number": "503-362-8385",
            "fax_number": "503-362-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 4TH AVE NW STE 302",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279371",
            "telephone_number": "206-957-9329",
            "fax_number": "253-839-7166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3216 NE 45th Pl Ste 203",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981054028",
            "country_code": "US",
            "telephone_number": "206-525-1168",
            "fax_number": "206-525-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8435 SE 68th St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Mercer Island",
            "state": "WA",
            "postal_code": "980405249",
            "country_code": "US",
            "telephone_number": "206-232-7546",
            "fax_number": "206-525-1169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "ELIZAVETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60631950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mareon Vincent Henderson, LICSW
• Cynthia Hendrickson, OT/L
• Mary Josephine Hendrickson, PHD
• John Henn, DO
• Aiden Herman
• Jenny Lynn Hermanson, M.S. LMFT
• Melania Judith Hernandez Romero
• Tiffany Lynne Herr, MD
• Katie Hertzberg, DPT
• Mark Brady Herzog, D.M.D.

• Physician Assistant in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.