Active NPI
Mark Crawshaw, FNP-BC
- Nurse Practitioner
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61418651
- Practice address
- 1600 Continental PL Ste 101
Mount Vernon, WA 98273-5607 - Phone
- (360) 336-3026
- Fax
- (360) 428-4227
- NPI assigned
- Jun 7, 2021
- Last updated
- Mar 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61418651 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024182074 | VA | |
| Nurse Practitioner | 363L00000X | RN61276312 | WA |
Addresses
Primary practice location
1600 Continental PL Ste 101
Mount Vernon, WA 98273-5607
Mailing address
1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385
Other practice location 1
3131 Nassau St Ste 101
Everett, WA 98201-4137
Phone (425) 385-2009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Continental PL
Suite 101
Mount Vernon, WA 98273-5607
Phone (360) 336-3026
4904 Timber Ridge Dr
Suite 101
Douglasville, GA 30135-1831
Phone (770) 739-7546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61418651 | WA | MD | Nurse Practitioner |
| 0024182074 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Falls Dermatology, LLC | Nurse Practitioner | Current | Accepting new patients |
| Silver Falls Dermatology, LLC | Current | Accepting new patients | |
| Advanced Dermatology,P.C. | Current | Accepting new patients |
Locations
3459 Acworth Due West Rd NW
Acworth, GA 30101
Phone (678) 521-1105
4904 Timber Ridge Dr
Ste 101
Douglasville, GA 30135
Phone (770) 637-5563
1793 13th St SE
Salem, OR 97302
Phone 50336283851283
16410 Smokey Point Blvd
Ste 300
Arlington, WA 98223
16410 Smokey Point Blvd
Ste 307
Arlington, WA 98223
Phone (360) 651-1833
1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628
3131 Nassau St
#101
Everett, WA 98201
Phone (425) 339-8888
1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500
1600 Continental Pl
Ste 101
Mount Vernon, WA 98273
Phone (360) 336-3026
Organizations & group practices 3
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.
-
- Specialist
- Douglasville, GA
- NPI 1932360757
-
dba Frontier Dermatology
- Dermatology Physician
- Salem, OR
- NPI 1134375421
Nurse Practitioner, WA
-
dba Frontier Dermatology
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1417163635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1265009559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1793 13TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022541",
"telephone_number": "503-362-8385",
"fax_number": "503-362-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CONTINENTAL PL STE 101",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735607",
"telephone_number": "360-336-3026",
"fax_number": "360-428-4227"
}
],
"practiceLocations": [
{
"address_1": "3131 Nassau St Ste 101",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982014137",
"country_code": "US",
"telephone_number": "425-385-2009",
"fax_number": "425-939-0807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAWSHAW",
"first_name": "MARK",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-07",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61418651",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024182074",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "RN61276312",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.