Individual provider Active NPI

Kristine Beck, PA-C

  • Physician Assistant
  • Mount Vernon, WA
National Provider Identifier
1346538964
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60986007 Issued in WA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219001817 WA Practitioner - Physician Assistant 5395918999 Reassigns benefits to 1 organization

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
Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians

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

LicenseStateTypeSpecialty
3235COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Network PLLC CurrentSince Sep 3, 2019 Accepting new patients
Family Care Network PLLC CurrentSince Sep 3, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.