BETHANY L MADDEN ARNP
NPI 1104691658
Nurse Practitioner - Family in Castle Rock, WA

Q: What is Bethany Madden's NPI number?

The NPI number for Bethany Madden is 1104691658. It was assigned to this individual provider in the NPPES registry on November 15, 2023. The provider is also known as Bethany L Stark.

Q: What is Bethany Madden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Madden was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 15, 2023PECOS Enrolled

139 1ST AVE SW, CASTLE ROCK, WA 98611(360) 814-2353(360) 274-7439 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Nov 15, 2023 (2 updates tracked since 2023).

On this page

About Bethany L Madden Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY L MADDEN ARNP (NPI 1104691658) is an individual family provider in Castle Rock, Washington, licensed in Washington (AP61478800) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104691658

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBETHANY L MADDENCredential: ARNP

Location Address139 1ST AVE SWCastle Rock, WA 98611

Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 636-3892 · Fax (360) 414-1342

Phone(360) 814-2353

Fax(360) 274-7439

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 15, 2023

Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1104691658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · AP61478800

139 1ST AVE SW, Castle Rock, WA 98611

Open in Google Maps ↗

Other Names 1

Former Name (1)Bethany L Stark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany L Madden Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941659718

PECOS Enrollment IDI20231206001121

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500041

Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEACEHEALTH

Durable Medical Equipment & Medical Supplies