Individual provider Active NPI

Kristan Thurber

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1689304628
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2690 Issued in ID
Practice address
74B Centennial Loop Ste 300
Eugene, OR 97401-7925
Phone
(541) 686-3791
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-2690 ID Primary

Addresses

Primary practice location

74B Centennial Loop Ste 300
Eugene, OR 97401-7925

Mailing address

74B Centennial Loop Ste 300
Eugene, OR 97401-7925
Phone (208) 351-2945

Other practice location 1

1896 Jeppson Ave
Idaho Falls, ID 83404-6158
Phone (208) 351-2945

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
I20250515000526 OR Practitioner - Physician Assistant 6204272792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurospine GroupGroup PAC ID 7719221068, 4 clinicians

Practice addresses (Care Compare)

74 B Centennial Loop
Suite 300
Eugene, OR 97401-7925
Phone (541) 393-0925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurospine Group CurrentSince Jun 25, 2025 Accepting new patients
Taylor G Wright PC Physician Assistant PastSince Feb 1, 2023 Accepting new patients

Locations

74B Centennial Loop
Ste 300
Eugene, OR 97401
Phone (541) 393-0925

74B Centennial Loop
Ste 100
Eugene, OR 97401
Phone (541) 686-3791

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/262894/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1689304628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017925",
            "telephone_number": "208-351-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74B CENTENNIAL LOOP STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017925",
            "telephone_number": "541-686-3791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1896 Jeppson Ave",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046158",
            "country_code": "US",
            "telephone_number": "208-351-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURBER",
        "first_name": "KRISTAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.