Individual provider Active NPI

Darcy R. Butcher, FNPC

  • Family Nurse Practitioner
  • Klamath Falls, OR
National Provider Identifier
1083614630
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200050026NP Issued in OR
Practice address
2821 Daggett Ave Ste 200
Klamath Falls, OR 97601-1106
Phone
(541) 274-8400
Fax
(541) 274-8405
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200050026NP OR Primary
Nurse Practitioner 363L00000X 200050026NP OR

Addresses

Primary practice location

2821 Daggett Ave Ste 200
Klamath Falls, OR 97601-1106

Mailing address

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-8400

Other practice location 1

425 N Santiam Hwy
Suite 100
Lebanon, OR 97355-4361
Phone (541) 451-6960

Other identifiers 2

IdentifierTypeStateIssuer
129861MedicaidOR
238197MedicaidOR

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
I20050831000818 OR Practitioner - Nurse Practitioner 0446282321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cofas IncGroup PAC ID 1456360114, 6 clinicians

Practice addresses (Care Compare)

2218 Shallock Ave
Klamath Falls, OR 97601-4290
Phone (541) 882-3818

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200050026NPORMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cofas Inc CurrentSince Aug 29, 2022 Accepting new patients
Klamath Tribal Health & Family Services CurrentSince Nov 9, 2020 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Aug 12, 2019 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Aug 12, 2019 Accepting new patients
Klamath Walk in Care Center Inc. PastSince Jul 5, 2014 Accepting new patients
Chiloquin Family Practice Inc PC Past Accepting new patients
Timothy J Gray DO LLC PastSince Jan 1, 2005 Accepting new patients

Locations

2218 Shallock Ave
Klamath Falls, OR 97601
Phone (541) 882-3818

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

3949 S 6th St
Klamath Falls, OR 97603
Phone (541) 882-1487

2821 Daggett Ave
Ste 200
Klamath Falls, OR 97601
Phone (541) 274-8400

2617 Almond St
Klamath Falls, OR 97601
Phone (541) 274-8690

Interoperability endpoints

  • Direct secure messaging: darcy.butcher.1@25961.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25961/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/26386/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1083614630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-274-8400",
            "fax_number": "541-274-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 DAGGETT AVE STE 200",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-274-8400",
            "fax_number": "541-274-8405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 N Santiam Hwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973554361",
            "country_code": "US",
            "telephone_number": "541-451-6960",
            "fax_number": "541-451-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "DARCY",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200050026NP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200050026NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129861",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238197",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.