Individual provider Active NPI

Endrias Tafese Abera, DNP-AGNP

  • Gerontology Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1275064107
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP60776229 Issued in WA
Practice address
4333 Brooklyn Ave NE
Seattle, WA 98195-1016
Phone
(206) 744-5415
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP60776229 WA Primary

Addresses

Primary practice location

4333 Brooklyn Ave NE
Seattle, WA 98195-1016

Mailing address

PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700

Other practice location 1

747 Broadway
Seattle, WA 98122-4379
Phone (206) 215-2520

Other practice location 2

747 Broadway
Seattle, WA 98122-4379
Phone (206) 215-2520

Other practice location 3

4333 Brooklyn Ave NE
Seattle, WA 98195-1016
Phone (206) 744-5415

Other practice location 4

4333 Brooklyn Ave NE
Seattle, WA 98195-1016
Phone (206) 744-5415

Other practice location 5

201 16th Ave E # Swb
Seattle, WA 98112-5226
Phone (206) 330-3312

Other practice location 6

20127 33rd Pl W
Lynnwood, WA 98036-6939
Phone (206) 963-0413

Other practice location 7

6837 29th Ave NE
Seattle, WA 98115-7236
Phone (206) 963-0413

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171214000285 WA Practitioner - Nurse Practitioner 6002174398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

325 9TH Ave
Seattle, WA 98104-2420
Phone (206) 731-3000

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60776229WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Dec 11, 2017 Accepting new patients

Locations

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275064107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 BROOKLYN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981951016",
            "telephone_number": "206-744-5415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 Broadway",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981224379",
            "country_code": "US",
            "telephone_number": "206-215-2520",
            "fax_number": "206-215-6364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 Broadway",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981224379",
            "country_code": "US",
            "telephone_number": "206-215-2520",
            "fax_number": "206-215-6364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4333 Brooklyn Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981951016",
            "country_code": "US",
            "telephone_number": "206-744-5415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4333 Brooklyn Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981951016",
            "country_code": "US",
            "telephone_number": "206-744-5415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 16th Ave E # Swb",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981125226",
            "country_code": "US",
            "telephone_number": "206-330-3312",
            "fax_number": "206-630-2887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20127 33rd Pl W",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980366939",
            "country_code": "US",
            "telephone_number": "206-963-0413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6837 29th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981157236",
            "country_code": "US",
            "telephone_number": "206-963-0413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABERA",
        "first_name": "ENDRIAS",
        "middle_name": "TAFESE",
        "name_prefix": "Dr.",
        "credential": "DNP-AGNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60776229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.