Individual provider Active NPI

Jenna Beh, PA-C

  • Surgical Physician Assistant
  • Mount Vernon, WA
National Provider Identifier
1346273083
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA60115528 Issued in WA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2009700MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20091022000435 WA Practitioner - Physician Assistant 4981619616
I20171212003294 OR Practitioner - Physician Assistant 4981619616 Reassigns benefits to 2 organizations
I20260609001483 TX Practitioner - Physician Assistant 4981619616 Reassigns benefits to 1 organization

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
Swinomish Health ServicesGroup PAC ID 2961821863, 15 clinicians

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

LicenseStateTypeSpecialty
PA183326ORMDRegistered Dietitian
PA60115528WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Oct 11, 2017 Accepting new patients
Proliance Surgeons Inc P S Surgical CurrentSince Jan 1, 2022 Accepting new patients
North Bend Medical Center Inc CurrentSince Nov 1, 2018 Accepting new patients
Sound Pain Alliance CurrentSince Apr 1, 2025 Accepting new patients
Sound Pain Alliance Current Accepting new patients
Sound Pain Alliance CurrentSince Apr 1, 2025 Accepting new patients
Proliance Surgeons Inc P S Physician Assistant CurrentSince Jan 1, 2022 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.