AFSHIN EDRISSI (DO) – Adult Medicine Physician, NPI 1588230072
Adult Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for AFSHIN EDRISSI (DO)
1806 W Lincoln Ave
Yakima, WA 989022473
Phone: (509) 452-4520
Fax: (509) 452-5224
Type: Location
521 E Mountain View Ave
Ellensburg, WA 989263865
Phone: (509) 962-1414
Fax: (509) 962-1408
Type: Location
521 E MOUNTAIN VIEW AVE
ELLENSBURG, WA 989263865
Phone: (509) 962-1414
Fax: (509) 962-1408
Type: Location
901 S SWEETWATER ST
WHEELER, TX 790962428
Phone: (806) 826-5581
Type: Mailing
501 S 5TH AVE
YAKIMA, WA 989023550
Phone: (509) 494-6700
Fax: (509) 853-1082
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240910002293 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98902)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.