NPIMap

Individual provider Active NPI

Randall Troy Siegenthaler Beck, PA-C

  • Surgical Physician Assistant
  • Silverdale, WA
National Provider Identifier
1669930574
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA60977450 Issued in WA
Practice address
4409 NW Anderson Hill Rd
Silverdale, WA 98383-6807
Phone
(360) 698-6630
Fax
(360) 698-7002
NPI assigned
Mar 10, 2019
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60977450 WA
Surgical Physician Assistant 363AS0400X PA60977450 WA Primary

Addresses

Primary practice location

4409 NW Anderson Hill Rd
Silverdale, WA 98383-6807

Mailing address

4409 NW Anderson Hill Rd
Silverdale, WA 98383-6807
Phone (360) 698-6630

Other names 1

  • Randy Troy Beck Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191206001934 WA Practitioner - Physician Assistant 1153754049 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

4409 NW Anderson Hill Rd
Silverdale, WA 98383-6807
Phone (360) 698-6630

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as apm
Quality
68.03
Promoting interoperability
81
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60977450WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Hospital District No 2 CurrentSince Oct 7, 2019 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Oct 7, 2019 Accepting new patients
Jefferson County Public Hospital District No 2 Past Accepting new patients

Locations

89 Breaker Ln
Port Ludlow, WA 98365
Phone (360) 437-5067

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1669930574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 NW ANDERSON HILL RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836807",
            "telephone_number": "360-698-6630",
            "fax_number": "360-698-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 NW ANDERSON HILL RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836807",
            "telephone_number": "360-698-6630",
            "fax_number": "360-698-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGENTHALER BECK",
        "first_name": "RANDALL",
        "middle_name": "TROY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-10",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60977450",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60977450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "BECK",
            "middle_name": "TROY",
            "credential": "PAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.