Individual provider Active NPI

Beth Christie Sheeran

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1669087979
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61090828 Issued in WA
Practice address
1401 N Calispel St
Spokane, WA 99201-2317
Phone
(509) 838-4651
Fax
(509) 363-2762
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP61090828 WA
Family Nurse Practitioner 363LF0000X AP61090828 WA Primary

Addresses

Primary practice location

1401 N Calispel St
Spokane, WA 99201-2317

Mailing address

107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651

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
I20201124002634 WA Practitioner - Nurse Practitioner 8527479476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dispatchhealth Washington PCGroup PAC ID 2062765423, 44 clinicians

Practice addresses (Care Compare)

200 N Mullan Rd
Suite 124
Spokane Valley, WA 99206-6827
Phone (509) 408-2107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.5 of 100Reported as group
Quality
44.61
Promoting interoperability
0
Improvement activities
40
Cost
50.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP61090828WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Washington PC CurrentSince Aug 1, 2023 Accepting new patients
Frontier Behavioral Health Family CurrentSince Oct 26, 2020 Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients

Locations

6912 220th St SW
Ste 113
Mountlake Terrace, WA 98043
Phone (425) 361-7670

1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720

1401 N Calispel St
Spokane, WA 99201
Phone (406) 740-2150

107 S Division St
Spokane, WA 99202
Phone (509) 383-4651

200 N Mullan Rd
Ste 124
Spokane Valley, WA 99206
Phone (509) 408-2107

920 N Argonne Rd
Ste 115
Spokane Valley, WA 99212
Phone (509) 408-2107

6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720

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 and National Provider Directory roles.

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1669087979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021510",
            "telephone_number": "509-838-4651",
            "fax_number": "509-363-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N CALISPEL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012317",
            "telephone_number": "509-838-4651",
            "fax_number": "509-363-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEERAN",
        "first_name": "BETH",
        "middle_name": "CHRISTIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61090828",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61090828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.