EVA NYSTROM (FNP-BC) – Family Nurse Practitioner, NPI 1922071422

EVA NYSTROM (FNP-BC) is a healthcare provider. based in Camas, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. AP30004316 (WA). The NPI Number for EVA NYSTROM (FNP-BC) is 1922071422

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
EVA NYSTROM (FNP-BC)
NPI
1922071422
Phone
(360) 980-2441
Address
PO BOX 728
Enumeration Date
7 February 2006
Last Update Date
28 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3609802441
Graduation Year
1992 (34 years ago)
PAC ID
5890769749
Group Practice PAC ID
5496095283
Professional Enrollment ID
I20040825000777
Address ID
WA986834201VA415XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for EVA NYSTROM (FNP-BC)

  • PO BOX 728

    CAMAS, WA 986070728

    Phone: (360) 980-2441

    Fax: (877) 491-4990

    Type: Mailing

  • 415 SE 177TH AVE

    VANCOUVER, WA 986834201

    Phone: (360) 980-2441

    Fax: (877) 491-4990

    Type: Location

  • 3240, Northeast 3rd Avenue, Parker Landing Light, Camas, Clark County, Washington, 98607, United States

    CAMAS, WA 986072408

    Phone: (360) 838-2440

    Fax: (360) 838-2450

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2022-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040825000777INurse PractitionerWATBD
I20220922003060INurse PractitionerORTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes183171$0
81003Automated urinalysis test5047$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen3636$0
99214Established patient office or other outpatient visit, 30-39 minutes3535$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 98607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496095283View full group profile

Reviews

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Frequently asked questions

Can I verify EVA NYSTROM (FNP-BC) with an NPI only?
You can start verification with NPI 1922071422 for EVA NYSTROM (FNP-BC), then check state licensing separately.
Is EVA NYSTROM (FNP-BC) still practicing?
EVA NYSTROM (FNP-BC) is currently listed as active in the public NPI registry.
What healthcare role does EVA NYSTROM (FNP-BC) hold?
Scheduling teams often label EVA NYSTROM (FNP-BC) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for EVA NYSTROM (FNP-BC)?
EVA NYSTROM (FNP-BC)'s geographic hint is Camas, Washington in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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