Amanda L Lybarger
Individual provider Active NPI Family Nurse Practitioner · Klamath Falls, OR
NPI 1801611405 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1801611405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 10035575 (OR)
- Practice address
- 2074 S 6TH St
Klamath Falls, OR 97601-3372 - Phone
- (541) 841-8110
- Fax
- (541) 851-8114
- NPI assigned
- Nov 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Klamath Health Partnership Inc
Adapt
Practice addresses (Care Compare)
2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 880-2011
621 W Madrone St
Roseburg, OR 97470-3090
Phone (541) 492-4550
Hospital & facility affiliations
- Mercy Medical Center
- Sky Lakes Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250108003916 | OR | Practitioner - Nurse Practitioner | 1850829557 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adapt | Current |
Accepting new patients | |
| Adapt | Current | Accepting new patients | |
| Adapt | Current |
Accepting new patients | |
| Adapt | Past | Accepting new patients |
Locations
621 W Madrone St
Roseburg, OR 97470
Phone (541) 440-3571
3099 NE Diamond Lake Blvd
Roseburg, OR 97470
Phone 5416733469 ext. 1510
548 SE Jackson St
Roseburg, OR 97470
Phone (541) 492-0241
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10035575 | OR | Yes |
Addresses
Primary practice location
2074 S 6TH St
Klamath Falls, OR 97601-3372
Mailing address
2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 841-8110
Other practice location 1
621 W Madrone St
Roseburg, OR 97470-3090
Phone (541) 492-4550
Other providers in Klamath Falls, OR
- Peter L Lusich IV
- Eleanor Frances Lustig-Butts
- Lutheran Community Services Northwest
- Lutheran Community Services Northwest
- Lutheran Community Services NW
- Joelene Lyons-Reynolds
- Amanda Rae Lyons
- Elen Marie Mabe
- Dyllan E Mabou
- Randal A Machado
All providers in Klamath Falls, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.