Individual provider Active NPI

Erin P Butler, PA C

  • Physician Assistant
  • Redmond, OR
National Provider Identifier
1528077930
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01455 Issued in OR
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

Updated by the provider on Mar 27, 2023

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 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

TypeEndpointUseAffiliation
Direct Messaging Address ebutler18160@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2026WIMDOptometrist
PA01455ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glendive Medical Center, Inc CurrentSince Dec 2, 2025 Accepting new patients
Glendive Medical Center, Inc Current Accepting new patients
Memorial Hospital Association CurrentSince Jul 30, 2020 Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince Apr 26, 2019 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Cep America LLC CurrentSince Oct 15, 2022 Accepting new patients
Memorial Hospital Association CurrentSince Jul 30, 2020 Accepting new patients
St. Charles Health System, Inc. CurrentSince Nov 29, 2012 Accepting new patients
Cep America LLC CurrentSince Oct 15, 2022 Accepting new patients
Glendive Medical Center, Inc CurrentSince Mar 18, 2022 Accepting new patients
Memorial Hospital Association CurrentSince Nov 1, 2025 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.

View all 18

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

Verify at the official NPI Registry.