Individual provider Active NPI

Billie J Kaskasuto, D.C., FNP-C

  • Family Nurse Practitioner
  • Enterprise, OR
National Provider Identifier
1124078175
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201600042NP Issued in OR
Practice address
610 W North St Suite B
Enterprise, OR 97828-1427
Phone
(541) 426-9355
Fax
(541) 426-6437
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 3299 OR OR
Family Nurse Practitioner 363LF0000X 201600042NP OR Primary

Addresses

Primary practice location

610 W North St Suite B
Enterprise, OR 97828-1427

Mailing address

610 W North St Suite B
Enterprise, OR 97828-1427
Phone (541) 426-9355

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
I20160516000382 OR Practitioner - Nurse Practitioner 2264557172 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3298ORMDClinical Psychologist
3299 ORORMDSports Physician Chiropractor
201600042NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icco LLC CurrentSince Aug 5, 2024 Accepting new patients
Icco, LLC CurrentSince Aug 5, 2024 Accepting new patients

Locations

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

1623 N 1st St
Hermiston, OR 97838
Phone (458) 300-9014

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icco LLC 133 clinicians

Practice addresses (Care Compare)

1623 N 1St St
Hermiston, OR 97838-1106
Phone (458) 300-9014

610 W N St
Suite B
Enterprise, OR 97828-1427
Phone (541) 426-9355

Hospital & facility affiliations

  • Wallowa Memorial Hospital Hospital, Enterprise, OR, CCN 381306
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1124078175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W NORTH ST SUITE B",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281427",
            "telephone_number": "541-426-9355",
            "fax_number": "541-426-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W NORTH ST SUITE B",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281427",
            "telephone_number": "541-426-9355",
            "fax_number": "541-426-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASKASUTO",
        "first_name": "BILLIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C., FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "3299 OR",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201600042NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, OR

Sources for this page

Verify at the official NPI Registry.