Bethany L Madden, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61478800 Issued in WA

Practice address

139 1St Ave SW
Castle Rock, WA 98611

Phone

(360) 814-2353

Fax

(360) 274-7439

NPI assigned

Nov 15, 2023

Last updated

Nov 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bethany L Stark Former name

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Cowlitz Family Health CenterGroup PAC ID 5991696395, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth Southwest Home Health Home health agency, Vancouver, WA, CCN 507064
• Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1891724506
  Medicare reassignment Care Compare group NPD
• Cowlitz Family Health Center

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, WA
  • NPI 1609524164
  NPD
• Cowlitz Family Health Center

  dba Family Health Center Castle Rock Clinic

  • Federally Qualified Health Center (FQHC)
  • Castle Rock, WA
  • NPI 1801266481
  NPD (past)
• Cowlitz Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ocean Park, WA
  • NPI 1891856142
  NPD (past)

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

• Peacehealth

  dba St. John Medical Center

  • General Acute Care Hospital
  • Longview, WA
  • NPI 1073510277
  Care Compare affiliation
• Peacehealth

  dba Peacehealth Southwest Home Health

  • Home Health Agency
  • Vancouver, WA
  • NPI 1285720896
  Care Compare affiliation

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1104691658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 12TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322509",
            "telephone_number": "360-636-3892",
            "fax_number": "360-414-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 1ST AVE SW",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "98611",
            "telephone_number": "360-814-2353",
            "fax_number": "360-274-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "BETHANY",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61478800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "STARK",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kleine Enterprises (The Villager)
• L. Blaine Kennington, DDS, PC
• Stephanie Larsen, RN
• Lily B and Samuel D Crocco DMD PLLC (Cowlitz River Dental)
• Allison Lunday, PT, DPT
• Lynda Jean McLaughlin, CDPT
• Mountain View Speech Services
• Sean Noel Murray, FNP-BC
• Peacehealth (St John Medical Center - PeaceHealth Medical Group Castle Rock)
• Benee Elise Pezze

• Family Nurse Practitioner in Castle Rock, WA
• Providers in Castle Rock, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.