Individual provider Active NPI

Bobbi Schylene Beard, DNP

  • Family Nurse Practitioner
  • Cle Elum, WA
National Provider Identifier
1003543208
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61345170 Issued in WA
Practice address
112 W Railroad St Ste 2
Cle Elum, WA 98922-1131
Phone
(509) 241-8003
Fax
(509) 824-6715
NPI assigned
Aug 7, 2022
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61345170 WA Primary

Addresses

Primary practice location

112 W Railroad St Ste 2
Cle Elum, WA 98922-1131

Mailing address

112 W Railroad St Ste 2
Cle Elum, WA 98922-1131
Phone (509) 241-8003

Other practice location 1

112 W Railroad St Ste 2
Cle Elum, WA 98922-1131
Phone (509) 241-8003

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
I20221115003225 WA Practitioner - Nurse Practitioner 8527436914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 W Railroad St
Suite 2
Cle Elum, WA 98922-1131
Phone (509) 241-8003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.91 of 100Reported as group
Quality
66.6
Promoting interoperability
100
Improvement activities
40
Cost
69.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61345170WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Oct 10, 2022 Accepting new patients
Upper County Primary Care LLC CurrentSince Mar 5, 2024 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Oct 10, 2022 Accepting new patients

Locations

112 W Railroad St
Ste 2
Cle Elum, WA 98922
Phone (509) 241-8003

201 Alpha Way
Cle Elum, WA 98922
Phone (509) 674-5331

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

700 E Manitoba Ave
Ellensburg, WA 98926
Phone (509) 925-6100

Interoperability endpoints

  • Direct secure messaging: bobbi.beard.1@29953.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1003543208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W RAILROAD ST STE 2",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221131",
            "telephone_number": "509-241-8003",
            "fax_number": "509-824-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W RAILROAD ST STE 2",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221131",
            "telephone_number": "509-241-8003",
            "fax_number": "509-824-6715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 W Railroad St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cle Elum",
            "state": "WA",
            "postal_code": "989221131",
            "country_code": "US",
            "telephone_number": "509-241-8003",
            "fax_number": "509-824-6715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARD",
        "first_name": "BOBBI",
        "middle_name": "SCHYLENE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61345170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cle Elum, WA

Sources for this page

Verify at the official NPI Registry.