Active NPI
Erin P Butler, PA C
- Physician Assistant
- Redmond, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01455
- Practice address
- 1253 NW Canal Blvd
Redmond, OR 97756-1334 - Phone
- (541) 548-8131
- Fax
- (541) 526-6608
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2026 | WI | |
| Physician Assistant | 363A00000X | PA01455 | OR | Primary |
Addresses
Primary practice location
1253 NW Canal Blvd
Redmond, OR 97756-1334
Mailing address
1303 NE Cushing Dr
Ste 100
Bend, OR 97701-3887
Phone (541) 330-8226
Other practice location 1
1303 NE Cushing Dr
Ste 100
Bend, OR 97701-3887
Phone (541) 330-8226
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebutler18160@secure.stcharleshealthcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090527000486 | OR | Practitioner - Physician Assistant | 2163429275 | Reassigns benefits to 5 organizations |
| I20180601002233 | MT | Practitioner - Physician Assistant | 2163429275 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026 | WI | MD | Optometrist |
| PA01455 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendive Medical Center, Inc | Current | Accepting new patients | |
| Glendive Medical Center, Inc | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Stillwater Hospital Association, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Glendive Medical Center, Inc | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Memorial Hospital Association | Past | Accepting new patients | |
| Physicians of Central Oregon, LLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
29358 Network Pl
Chicago, IL 60673
202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
1303 NE Cushing Dr
Ste 100
Bend, OR 97701
Phone (541) 330-8226
51781 Huntington Rd
La Pine, OR 97739
Phone (541) 666-7920
470 NE A St
Madras, OR 97741
Phone (541) 383-3668
384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
Organizations & group practices 18
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.
-
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- Ontario, OR
- NPI 1790209898
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1528077930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 NE CUSHING DR",
"address_2": "STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977013887",
"telephone_number": "541-330-8226",
"fax_number": "541-318-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 NW CANAL BLVD",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561334",
"telephone_number": "541-548-8131",
"fax_number": "541-526-6608"
}
],
"practiceLocations": [
{
"address_1": "1303 NE Cushing Dr",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977013887",
"country_code": "US",
"telephone_number": "541-330-8226",
"fax_number": "541-318-0373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "ERIN",
"middle_name": "P",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2026",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01455",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebutler18160@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "1253 NW Canal Blvd",
"city": "Redmond",
"state": "OR",
"country_code": "US",
"postal_code": "977561334",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.