Individual provider Active NPI

Tracey S Kather, NP

  • Family Nurse Practitioner
  • Brookings, OR
National Provider Identifier
1861538274
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200250089 Issued in OR
Practice address
603 Hemlock St Ste 3B
Brookings, OR 97415-9425
Phone
(541) 469-9100
Fax
(541) 469-9200
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200250089 OR Primary

Addresses

Primary practice location

603 Hemlock St Ste 3B
Brookings, OR 97415-9425

Mailing address

PO Box 44
Brookings, OR 97415-0004
Phone (541) 469-9100

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
I20031113000614 OR Practitioner - Nurse Practitioner 7214841352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

603 Hemlock St
Suite 3B
Brookings, OR 97415-9425
Phone (541) 469-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200250089ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visana Wellness, LLC CurrentSince Jan 5, 2009 Accepting new patients
Chetco Medical & Aesthetics LLC PastSince Jul 27, 2020 Accepting new patients

Locations

603 Hemlock St
Ste 3B
Brookings, OR 97415
Phone (541) 469-9100

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1861538274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150004",
            "telephone_number": "541-469-9100",
            "fax_number": "541-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HEMLOCK ST STE 3B",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159425",
            "telephone_number": "541-469-9100",
            "fax_number": "541-469-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHER",
        "first_name": "TRACEY",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200250089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

Verify at the official NPI Registry.