Individual provider Active NPI

Chelsea Elizabeth Beveridge, MD

  • Family Medicine Physician
  • Pasco, WA
National Provider Identifier
1275186140
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61256691 Issued in WA
Practice address
7425 Wrigley Dr Ste 100
Pasco, WA 99301-5292
Phone
(509) 416-8888
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 61256691 WA Primary

Addresses

Primary practice location

7425 Wrigley Dr Ste 100
Pasco, WA 99301-5292

Mailing address

7425 Wrigley Dr Ste 100
Pasco, WA 99301-5292
Phone (509) 416-8888

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822000260 WA Practitioner - Family Practice 7416359310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Practice addresses (Care Compare)

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

311 S 72ND Ave
Yakima, WA 98908-1661
Phone (509) 972-1818

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61256691WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Hospital LLC CurrentSince Sep 1, 2022 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Sep 9, 2025 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Sep 9, 2025 Accepting new patients
Lourdes Hospital LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Lourdes Hospital LLC Past Accepting new patients

Locations

7425 Wrigley Dr
Ste 100
Pasco, WA 99301
Phone (509) 416-8888

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

311 S 72nd Ave
Yakima, WA 98908
Phone (509) 927-1818

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

Organizations & group practices 5

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.

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1275186140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 WRIGLEY DR STE 100",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015292",
            "telephone_number": "509-416-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 WRIGLEY DR STE 100",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015292",
            "telephone_number": "509-416-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERIDGE",
        "first_name": "CHELSEA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2022-09-16",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "61256691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.