Karen D. Evans, RN, CPC

CEO of New Directions and Founder of Evans Medical Consultants 

Starting out as a Registered Nurse (RN) for almost a decade, Karen brings unique expertise acquired from hands-on experience when providing medical billing services to clients. During her career as an RN, it became apparent that there was a need for more efficient and comprehensive billing and coding services. Then and there, inspiration formed for Karen’s first company, Evans Medical Consultants (EMC). Its doors officially opened in 1997 and currently operates in Anacortes, WA. Since then, Karen and her carefully chosen team of professional coders provide unparalleled billing services ranging from consulting, auditing, coding, credentialing, authorizations, A/R recovery, and more.


In 2012, Karen’s team of revenue cycle specialist grew after she purchased New Directions Practice Management in Everett, WA.  NDPM specialize in Revenue Cycle Management, their experience of medical billing and coding expertise with the leverage of technology captures  outstanding revenues otherwise lost while allowing medical practices to focus on patient care. Leading the team in Everett is Cassie Breckenridge, with over 12 years of practical experience in medical billing and collections. Cassie and her team are dedicated to our clients through exceptional customer services while exceeding industry standards of collections and A/R management.


Our passion is helping providers realize their financial potential is an opportunity waiting to be grasped; whether current billing processes are in serious crisis or just need a simple revamp. Contact us today for a complimentary practice assessment, and discover where your Revenue Cycle Services stands, and where it could be.

Cassie Breckenridge

Operations Manager of New Directions Practice Management

As the Operations Manager at New Directions Practice Management, Cassie drives a team that maximizes revenue cycle management by producing effective, consistent, and profitable outcomes for both medical practices and providers. 

After obtaining a Bachelor's Degree in Human Services from Western Washington University, Cassie began her career in the Medical Billing field. A little over 13 years later, Revenue Cycle Management is now her specialty and both she and her team continue to set the bar higher when it comes to providing exceptional customer service. In short, this is a team that makes complicated work seem simple. Each employee at New Directions is dedicated to maximizing practice efficiencies, profit and functional workflow as it relates to collection and A/R management. 

Contact Us


PO Box #3040

Anacortes, WA 98221

Tel: 425-899-3999

Fax: 425-899-4018

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