BEACH CLINIC INC P S
NPI 1770787335
Family Medicine in Westport, WA

Q: What is Beach Clinic Inc P S's NPI number?

The NPI number for Beach Clinic Inc P S is 1770787335. It was assigned to this organization in the NPPES registry on June 14, 2007.

Q: What is Beach Clinic Inc P S's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 14, 2007

801 N. MONTESANO, WESTPORT, WA 98595(360) 268-0195(360) 268-1442 Get Directions Write a Review

NPPES record last updated: December 7, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Beach Clinic Inc P S NPPES

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

BEACH CLINIC INC P S (NPI 1770787335) is a healthcare organization registered as a family medicine in Westport, Washington and active in the NPI registry since June 2007. The organization lists Shelly J Dueber, Physician, as its authorized official.

NPPES Registry Identity

NPI1770787335

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBEACH CLINIC INC P S

Location Address801 N. MONTESANOWestport, WA 98595

Mailing Address801 N Montesano, Po Box 2229Westport, WA 98595 · (360) 268-0195 · Fax (360) 268-1442

Phone(360) 268-0195

Fax(360) 268-1442

Organization SubpartNo

Authorized OfficialShelly J DueberPhysician · (360) 268-0195

Enumeration DateJune 14, 2007

Last NPPES UpdateDecember 7, 2010

✔ NPI 1770787335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · OP00001807

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

801 N. MONTESANO, Westport, WA 98595

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Other Identifiers 5

Medicare UPINH44463WA

Medicare OSCAR/certification503859WA

Medicaid7102221WA

Medicaid7103187WA

Medicare ID-Type UnspecifiedGAB17158WA · Nonrural

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beach Clinic Inc P S is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beach Clinic Inc P S, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shelly Dueber, D.O.

Family Practice

NPI 1982786968

801 N. MONTESANO
Westport, WA 98595

(360) 268-0195

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beach Clinic Inc P S's NPI number?

The NPI number for Beach Clinic Inc P S is 1770787335. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is Beach Clinic Inc P S located?

Beach Clinic Inc P S is located at 801 N. Montesano, Westport, WA 98595. The listed phone number is (360) 268-0195.

What is Beach Clinic Inc P S's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Beach Clinic Inc P S enrolled in Medicare?

Yes. Beach Clinic Inc P S is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beach Clinic Inc P S?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Beach Clinic Inc P S. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beach Clinic Inc P S accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Beach Clinic Inc P S as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beach Clinic Inc P S was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.