Maryallyn Alden, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61126244 Issued in WA

Practice address

3130 Squalicum Pkwy
Bellingham, WA 98225-1940

Phone

(360) 671-4509

Fax

(360) 756-5184

NPI assigned

Jan 28, 2021

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: malden23077@direct.fcn.net

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.

• Family Care Network PLLC

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1427001015
  Medicare reassignment Care Compare group NPD (past)
• Pacific Northwest Urology Specialists, PLLC

  • Urology Physician
  • Bellingham, WA
  • NPI 1023400041
  Medicare reassignment NPD
• Family Care Network PLLC

  dba FCN Draw Station - Lynden

  • Clinical Medical Laboratory
  • Lynden, WA
  • NPI 1548819956
  NPD
• Family Care Network PLLC

  dba Sunset and James

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1558952150
  NPD

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1275124695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251940",
            "telephone_number": "360-671-4509",
            "fax_number": "360-756-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251940",
            "telephone_number": "360-671-4509",
            "fax_number": "360-756-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDEN",
        "first_name": "MARYALLYN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61126244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Alaribe
• Lareina Albertson, ARNP
• Andrea M Albi, BSN RN
• Jeffrey John Albright, D.C.
• Sage Katherine Albright, M.S., LMFT
• Aleksey Shkurat OD PLLC
• Alexander Knight Acupuncture Inc
• Annie Noel Alexander
• Paige Alexander, LMHCA
• Robert Kyle Alexander

• Physician Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.