Evelin Dacker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD20032 Issued in OR

Practice address

1105 Liberty St SE
Salem, OR 97302-4142

Phone

(971) 225-3331

Fax

(541) 248-1020

NPI assigned

Dec 27, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Hospital Hospital, Salem, OR, CCN 380051

Merit-based Incentive Payment System (MIPS)

Final score

93.65 of 100Reported as group

Quality

86.8

Promoting interoperability

100

Improvement activities

40

Cost

86.36

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/21276/brand/1/csg/1/fhir/r4
• Direct secure messaging: evelin.dacker.1@32746.direct.athenahealth.com

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.

• Clinicops, LLC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1275821266
  Medicare reassignment NPD
• Well Life Family Medicine, LLC

  • Clinic/Center
  • Salem, OR
  • NPI 1760998355
  Medicare reassignment NPD
• Clinicops LLC

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1215713961
  NPD
• Vida Family Medicine, LLC

  • Family Medicine Physician
  • Salem, OR
  • NPI 1063567832
  NPD
• Clear Choice Dermatology

  • Dermatology Physician
  • The Dalles, OR
  • NPI 1891327185
  NPD (past)
• Clinicops LLC

  • Internal Medicine Physician
  • Florence, OR
  • NPI 1497251268
  NPD (past)
• Groundswell Integrative Healthcare Inc.

  • Family Medicine Physician
  • Salem, OR
  • NPI 1457790826
  NPD (past)
• Salem Family Physicians, P.C.

  • Legal Medicine
  • Salem, OR
  • NPI 1396858353
  NPD (past)
• Vida Family Medicine

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
  • NPI 1184086209
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Care Compare affiliation

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1861479396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10360 LAKE DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069452",
            "telephone_number": "503-510-9027",
            "fax_number": "541-248-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024142",
            "telephone_number": "971-225-3331",
            "fax_number": "541-248-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Owens St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024183",
            "country_code": "US",
            "telephone_number": "503-972-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACKER",
        "first_name": "EVELIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD20032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- DR DACKER INDIV",
            "identifier": "132646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "082073",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD20032",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David D'Amore, MSW
• Stacia D'Anna, LPC
• Alicia D'Annunzio, LPCA, MA, NCC
• Nelson Morgan Da Silva, L.C.S.W
• Doug John Dacar
• Catherine Marie Dahl, DMD
• Sarah Dahl
• Gary Dahlstrom, D.O.
• Tiarra Alexandria Dailey Tiger
• Arnold Dailey

• Family Medicine Physician in Salem, OR
• Providers in Salem, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.