Active NPI
Timothy Krigbaum, PA-C
- Physician Assistant
- Redmond, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00998
- Practice address
- 1315 NW 4TH St Ste a
Redmond, OR 97756-1328 - Phone
- (541) 548-7761
- Fax
- (541) 598-3485
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00998 | OR | Primary |
Addresses
Primary practice location
1315 NW 4TH St Ste a
Redmond, OR 97756-1328
Mailing address
2090 NE Wyatt CT
Suite 101
Bend, OR 97701-7687
Phone (541) 382-6447
Other practice location 1
2090 NE Wyatt Ct
Suite 101
Bend, OR 97701-7687
Phone (541) 382-6447
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tkrigbaum27119@secure.stcharleshealthcare.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1253 NW Canal Blvd
Adv Illness Manag
Redmond, OR 97756-1334
Phone (541) 706-5880
1315 NW 4TH St
Redmond, OR 97756-1328
Phone (541) 706-4200
211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164
2500 NE Neff Rd
Bend, OR 97701-6015
655 NW Jackpine Ave
Sleep Cent
Redmond, OR 97756-1334
Phone (541) 526-6661
Hospital & facility affiliations
- St Charles Medical Center - Bend
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2556 | AZ | MD | General Practice Dentistry |
| PA00998 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
1315 NW 4th St
Apt A
Redmond, OR 97756
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
1245 NW 4th St
Ste 101
Redmond, OR 97756
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1831149079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 NE WYATT CT",
"address_2": "SUITE 101",
"city": "BEND",
"state": "OR",
"postal_code": "977017687",
"telephone_number": "541-382-6447",
"fax_number": "541-330-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 NW 4TH ST STE A",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561328",
"telephone_number": "541-548-7761",
"fax_number": "541-598-3485"
}
],
"practiceLocations": [
{
"address_1": "2090 NE Wyatt Ct",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977017687",
"country_code": "US",
"telephone_number": "541-382-6447",
"fax_number": "541-330-7413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRIGBAUM",
"first_name": "TIMOTHY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA00998",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tkrigbaum27119@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "1315 NW 4th St Ste A",
"city": "Redmond",
"state": "OR",
"country_code": "US",
"postal_code": "977561328",
"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 Oct 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.