Active NPI
Jenna Beh, PA-C
- Surgical Physician Assistant
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA60115528
- Practice address
- 1401 S Laventure Rd
Mount Vernon, WA 98274-6033 - Phone
- (360) 424-7041
- Fax
- (360) 424-2418
- NPI assigned
- Jul 8, 2006
- Last updated
- Dec 16, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA183326 | OR | |
| Surgical Physician Assistant | 363AS0400X | PA60115528 | WA | Primary |
| Registered Dietitian | 133V00000X | PA183326 | OR |
Addresses
Primary practice location
1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Mailing address
1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Phone (360) 424-7041
Other practice location 1
1500 Continental Pl
Mount Vernon, WA 98273-4105
Phone (360) 424-7041
Other practice location 2
1017 20th St
Anacortes, WA 98221-2505
Phone (360) 424-7041
Other practice location 3
2720 Commercial Ave
Anacortes, WA 98221-2734
Phone (360) 424-7041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009700 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8212 S March Point Rd
Anacortes, WA 98221-8684
Phone (360) 588-2800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA183326 | OR | MD | Registered Dietitian |
| PA60115528 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Hospital District | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Surgical | Current | Accepting new patients |
| North Bend Medical Center Inc | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Physician Assistant | Current | Accepting new patients |
| Sound Pain Alliance | Past | Accepting new patients |
Locations
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
1017 20th St
Anacortes, WA 98221
Phone (360) 424-7041
2720 Commercial Ave
Anacortes, WA 98221
Phone (360) 299-1300
16410 Smokey Point Blvd
Ste 210
Arlington, WA 98223
Phone (360) 200-4388
4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685
340 E George Hopper Rd
Ste 1
Burlington, WA 98233
Phone (360) 419-6868
7315 212th St SW
Ste 201
Edmonds, WA 98026
Phone (425) 778-8116
1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400
1500 Continental Pl
Mount Vernon, WA 98273
Phone (360) 424-7041
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- jbeh124259@secure.stcharleshealthcare.org
Organizations & group practices 10
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.
-
dba didgwalic Wellness Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Anacortes, WA
- NPI 1134632599
TX
-
dba NBMC-Main
- Multi-Specialty Clinic/Center
- Coos Bay, OR
- NPI 1407812365
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
Surgical
-
dba Proliance Pacific Rim Orthopedic Surgeons
- Multi-Specialty Clinic/Center
- Bellingham, WA
- NPI 1801497995
Physician Assistant
-
dba Mt. Baker Surgery Center
- Ambulatory Surgical Clinic/Center
- Bellingham, WA
- NPI 1457695116
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
dba Skagit Valley Hospital
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1346273083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S LAVENTURE RD",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982746033",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S LAVENTURE RD",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982746033",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2418"
}
],
"practiceLocations": [
{
"address_1": "1500 Continental Pl",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982734105",
"country_code": "US",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1017 20th St",
"address_purpose": "LOCATION",
"city": "Anacortes",
"state": "WA",
"postal_code": "982212505",
"country_code": "US",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2720 Commercial Ave",
"address_purpose": "LOCATION",
"city": "Anacortes",
"state": "WA",
"postal_code": "982212734",
"country_code": "US",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEH",
"first_name": "JENNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA183326",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA60115528",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "PA183326",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2009700",
"state": "WA"
}
],
"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 Dec 16, 2021; 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.