Christina Maria Beran, PA-C

Individual provider Active NPI Physician Assistant · Auburn, WA

NPI 1407617178 · NPPES record last updated Oct 15, 2024

Key facts

NPI
1407617178
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
435 E Main St
Auburn, WA 98002-5504
Phone
(253) 876-7930
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health System (2,312 clinicians)

Practice addresses (Care Compare)

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

407 E Main St
Auburn, WA 98002-5504
Phone (253) 545-0044

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital · Tacoma, WA · CCN 500129
  • Multicare Auburn Medical Center Hospital · Auburn, WA · CCN 500015
  • Multicare Covington Medical Center Hospital · Covington, WA · CCN 500154

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240610001974 WA Practitioner - Physician Assistant 4981146669 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current
since May 1, 2024
Accepting new patients
Multicare Health System Current
since May 1, 2024
Accepting new patients
Multicare Health System Physician Assistant Past
since Oct 20, 2024
Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

435 E Main St
Auburn, WA 98002-5504

Mailing address

435 E Main St
Auburn, WA 98002-5504
Phone (253) 876-7930

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2024.

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1407617178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025504",
            "telephone_number": "253-876-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025504",
            "telephone_number": "253-876-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERAN",
        "first_name": "CHRISTINA",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

All providers in Auburn, WA · Physician Assistant in Washington

Sources for this page

Verify at the official NPI Registry.