Individual provider Active NPI

Kara Davis Faith, PAC

  • Surgical Physician Assistant
  • Bend, OR
National Provider Identifier
1063726271
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0758 Issued in SD
Practice address
2500 NE Neff Rd
Bend, OR 97701-6015
Phone
(541) 706-5911
Fax
(541) 706-2645
NPI assigned
Jul 29, 2010
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 615 MT
Surgical Physician Assistant 363AS0400X 0758 SD Primary

Addresses

Primary practice location

2500 NE Neff Rd
Bend, OR 97701-6015

Mailing address

4141 5TH St
Rapid City, SD 57701-6021
Phone (605) 341-2424

Other practice location 1

4141 5th St
Rapid City, SD 57701-6021
Phone (605) 341-2424

Other practice location 2

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone (541) 382-3344

Other identifiers 1

IdentifierTypeStateIssuer
6834860MedicaidSD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kdavisfaith26710@secure.stcharleshealthcare.org
Direct Messaging Address karadavisfaith@tc.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220001576 OR Practitioner - Physician Assistant 7113108218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

1253 NW Canal Blvd
Adv Illness Manag
Redmond, OR 97756-1334
Phone (541) 706-5880

1541 NW Canal Blvd
Cancer Cent
Redmond, OR 97756-1341
Phone (541) 706-5800

211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164

2500 NE Neff Rd
Bend, OR 97701-6015

655 NW Jackpine Ave
Sleep Cent
Redmond, OR 97756-1334
Phone (541) 526-6661

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1611NEMDMental Health Counselor
615MTMDPhysical Therapist
0758SDMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Nov 2, 2020 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
St. Charles Health System, Inc. CurrentSince Nov 2, 2020 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

1345 NW Wall St
Ste 200
Bend, OR 97703
Phone (541) 330-0304

2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323

2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

1315 NW 4th St
Redmond, OR 97756
Phone (541) 388-2333

1541 NW Canal Blvd
Redmond, OR 97756
Phone (541) 322-3500

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

333 NW Larch Ave
Ste 110
Redmond, OR 97756

Interoperability endpoints

  • Direct secure messaging: kdavisfaith26710@secure.stcharleshealthcare.org

Organizations & group practices 5

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 4

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": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1063726271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016021",
            "telephone_number": "605-341-2424",
            "fax_number": "605-341-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016015",
            "telephone_number": "541-706-5911",
            "fax_number": "541-706-2645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 5th St",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577016021",
            "country_code": "US",
            "telephone_number": "605-341-2424",
            "fax_number": "605-341-4547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 NE Neff Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014281",
            "country_code": "US",
            "telephone_number": "541-382-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS FAITH",
        "first_name": "KARA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "615",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SD",
            "license": "0758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6834860",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdavisfaith26710@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2500 NE Neff Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karadavisfaith@tc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2200 NE Neff Rd Ste 200",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.