NPIMap

Individual provider Active NPI

Kirsten Elizabeth Tallent Caine, MD

  • Family Medicine Physician
  • Joseph, OR
National Provider Identifier
1295773463
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD24489 Issued in OR
Practice address
100 N. East St
Joseph, OR 97846
Phone
(541) 432-7777
NPI assigned
Jun 2, 2006
Last updated
Mar 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD24489 OR Primary

Addresses

Primary practice location

100 N. East St
Joseph, OR 97846

Mailing address

PO Box 1038
Joseph, OR 97846-1038
Phone (541) 432-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000447 OR Practitioner - Family Practice 0941238646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wallowa County Health Care DistrictGroup PAC ID 4183537566, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

601 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-5460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD24489ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wallowa County Health Care District Family Medicine CurrentSince Jan 24, 2015 Accepting new patients
Wallowa County Health Care District Family Medicine Current Accepting new patients
Wallowa County Health Care District CurrentSince Jan 1, 2026 Accepting new patients
Wallowa County Health Care District Family Medicine CurrentSince Jan 24, 2015 Accepting new patients
Jamie Slagel Lac LLC PastSince Dec 27, 2020 Accepting new patients
Wallowa County Health Care District Past Accepting new patients
Frontier Family Medicine PC Family Medicine Past Accepting new patients
Wallowa Mountain Medical Family Medicine Past Accepting new patients
Wallowa County Health Care District Family Medicine Past Accepting new patients
Wallowa County Health Care District Past Accepting new patients

Locations

306 W North St
Enterprise, OR 97828
Phone (541) 426-7171

601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111

603 Medical Pkwy
Enterprise, OR 97828
Phone 54142645025933

Interoperability endpoints

  • Direct secure messaging: kcaine595410@wm.providencedirect.org

Organizations & group practices 10

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 8

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1295773463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "JOSEPH",
            "state": "OR",
            "postal_code": "978461038",
            "telephone_number": "541-432-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N. EAST ST",
            "city": "JOSEPH",
            "state": "OR",
            "postal_code": "97846",
            "telephone_number": "541-432-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAINE",
        "first_name": "KIRSTEN",
        "middle_name": "ELIZABETH TALLENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD24489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joseph, OR

Sources for this page

Verify at the official NPI Registry.