Kris Helphinstine, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA165204 Issued in OR

Practice address

1023 Main St
Sweet Home, OR 97386-1515

Phone

(541) 255-1234

Fax

(541) 255-1366

NPI assigned

Feb 1, 2012

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1053683375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MAIN ST",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973861515",
            "telephone_number": "541-255-1234",
            "fax_number": "541-255-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELPHINSTINE",
        "first_name": "KRIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA165204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Goodell, CRM, CADC-R
• Groves Pharmacy
• Jo Ann Hackworth
• Katie Hall
• Katie Lou Harer
• May A. Hindmarsh, M.D.
• Timothy E Hindmarsh, M.D.
• Home Town Drugs of Sweet Home Inc (Economy Drugs)
• Carl F Hoogesteger, MD
• Grover L Hubbard Jr., LMT

• Physician Assistant in Sweet Home, OR
• Providers in Sweet Home, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.