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
Hospital & facility affiliations 3
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
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
- Multicare Auburn Medical Center
- Multicare Covington Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240610001974 | WA | Practitioner - Physician Assistant | 4981146669 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Physician Assistant | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Alicia Bennett
- Daniel Fisk Bennett
- Jessica May Bennett
- Kelly Benshoof
- Laurel Benz
- Mallory G Berberich
- Aleah Beres
- Matthew Berg
- Jake Bergstrom
- Ellen Bermudez
All providers in Auburn, WA · Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.