Individual provider Active NPI

Mark Crawshaw, FNP-BC

  • Nurse Practitioner
  • Mount Vernon, WA
National Provider Identifier
1265009559
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61418651 Issued in WA
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
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230719000594 WA Practitioner - Nurse Practitioner 7113387440 Reassigns benefits to 1 organization
I20241227000553 GA Practitioner - Nurse Practitioner 7113387440 Reassigns benefits to 1 organization

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
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians
Advanced Dermatology,P.C.Group PAC ID 2769556554, 5 clinicians

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

LicenseStateTypeSpecialty
AP61418651WAMDNurse Practitioner
0024182074VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC CurrentSince Oct 1, 2025 Accepting new patients
Silver Falls Dermatology, LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Advanced Dermatology,P.C. CurrentSince Sep 15, 2024 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 307
Arlington, WA 98223
Phone (360) 651-1833

16410 Smokey Point Blvd
Ste 300
Arlington, WA 98223

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 and National Provider Directory roles.

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

Verify at the official NPI Registry.