Active NPI
Kristine Beck, PA-C
- Physician Assistant
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60986007
- Practice address
- 205 W Stewart Rd Ste 104
Mount Vernon, WA 98273-9607 - Phone
- (360) 395-2938
- NPI assigned
- Jul 17, 2011
- Last updated
- Jun 20, 2024
- 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 | 3235 | CO | |
| Physician Assistant | 363A00000X | 135878 | AK | |
| Physician Assistant | 363A00000X | PA60986007 | WA | Primary |
Addresses
Primary practice location
205 W Stewart Rd Ste 104
Mount Vernon, WA 98273-9607
Mailing address
709 W Orchard Dr Ste 4
Bellingham, WA 98225-1766
Phone (307) 631-4211
Other names 1
- Kristine Young
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1610 Grover St
Lynden, WA 98264-1539
205 W Stewart Rd
Suite 104
Mount Vernon, WA 98273-9607
Phone (360) 395-2938
3130 Squalicum Pkwy
Bellingham, WA 98225-1940
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3235 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Network PLLC | Current | Accepting new patients | |
| Family Care Network PLLC | Current | Accepting new patients | |
| Family Care Network PLLC | Past | Accepting new patients |
Locations
3130 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 671-4509
1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785
205 W Stewart Rd
Ste 104
Mount Vernon, WA 98273
Phone (360) 395-2938
2116 E Section St
Mount Vernon, WA 98274
Phone (360) 424-3952
Interoperability endpoints
- kbeck19442@direct.fcn.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1427001015
-
dba Squalicum Family Medicine
- Family Medicine Physician
- Bellingham, WA
- NPI 1265477368
-
dba Sunset and James
- Family Medicine Physician
- Bellingham, WA
- NPI 1558952150
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
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": "1310860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1346538964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W ORCHARD DR STE 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251766",
"telephone_number": "307-631-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W STEWART RD STE 104",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982739607",
"telephone_number": "360-395-2938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "KRISTINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-17",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "3235",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "135878",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60986007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "YOUNG",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 20, 2024; 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.