Active NPI
Mallory Rose Beach, ARNP
- Family Nurse Practitioner
- Camano Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61464135
- Practice address
- 127 NE Camano Dr Ste a
Camano Island, WA 98282-8732 - Phone
- (360) 387-5398
- Fax
- (360) 629-1644
- NPI assigned
- Jul 18, 2023
- Last updated
- May 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61464135 | WA | Primary |
Addresses
Primary practice location
127 NE Camano Dr Ste a
Camano Island, WA 98282-8732
Mailing address
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 428-2500
Other practice location 1
9631 269th St NW
Stanwood, WA 98292-8071
Phone (360) 629-1600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbeach47663@skagit.direct-ci.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
127 NE Camano Dr
Suite A117
Camano Island, WA 98282-8732
Phone (360) 387-5398
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
326 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2144
127 NE Camano Dr
Ste A
Camano Island, WA 98282
Phone (360) 387-5398
127 NE Camano Dr
Ste A117
Camano Island, WA 98282
Phone (360) 387-5398
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
9631 269th St NW
Stanwood, WA 98292
Phone (360) 629-1600
Organizations & group practices 7
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.
-
dba Skagit Regional Clinics
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1023830346
-
dba Cascade Valley Hospital Physicians
- Anesthesiology Physician
- Arlington, WA
- NPI 1265791065
-
dba Skagit Regional Health - Mount Vernon Physical Therapy
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Skagit Valley Hospital
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
dba Cascade Valley Hospital
- General Acute Care Hospital
- Arlington, WA
- NPI 1073566246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1689354466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744126",
"telephone_number": "360-428-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 NE CAMANO DR STE A",
"city": "CAMANO ISLAND",
"state": "WA",
"postal_code": "982828732",
"telephone_number": "360-387-5398",
"fax_number": "360-629-1644"
}
],
"practiceLocations": [
{
"address_1": "9631 269th St NW",
"address_purpose": "LOCATION",
"city": "Stanwood",
"state": "WA",
"postal_code": "982928071",
"country_code": "US",
"telephone_number": "360-629-1600",
"fax_number": "360-629-1644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEACH",
"first_name": "MALLORY",
"middle_name": "ROSE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-18",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61464135",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbeach47663@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Direct",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "127 NE Camano Dr Ste A",
"city": "Camano Island",
"state": "WA",
"country_code": "US",
"postal_code": "982828732",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Camano Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.