NPIMap

Individual provider Active NPI

Kristine Marie Delamarter, MD

  • Family Medicine Physician
  • Madras, OR
National Provider Identifier
1902018757
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD27858 Issued in OR
Practice address
76 NE 12TH St
Madras, OR 97741-1827
Phone
(541) 475-3874
Fax
(541) 475-3503
NPI assigned
May 4, 2007
Last updated
Mar 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD27858 OR Primary

Addresses

Primary practice location

76 NE 12TH St
Madras, OR 97741-1827

Mailing address

76 NE 12TH St
Madras, OR 97741-1827
Phone (541) 475-3874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000063 OR Practitioner - Family Practice 8527152115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madras Medical Group PCGroup PAC ID 5597758102, 5 clinicians

Practice addresses (Care Compare)

76 NE 12TH St
Madras, OR 97741-1827
Phone (541) 475-3874

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27858ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristine.delamarter.1@14009.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Willow Creek Post AcuteMadras, OR, CCN 385181 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 18, 2025
Dec 18, 2025
Madras Medical Group PCMadras, OR, CCN 383859 Rural health clinic 5% Or Greater Direct Ownership Interest
General Partnership Interest
Corporate Officer		 Jul 1, 2012
Jul 1, 2012
Jul 1, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Madras Medical Group P.C.
    • Family Medicine Physician
    • Madras, OR
    • NPI 1093768533

    5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest

    CMS ownership
  • Sand Hollow, LLC

    dba Willow Creek Post Acute

    • Skilled Nursing Facility
    • Madras, OR
    • NPI 1720943434

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1902018757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 NE 12TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411827",
            "telephone_number": "541-475-3874",
            "fax_number": "541-475-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NE 12TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411827",
            "telephone_number": "541-475-3874",
            "fax_number": "541-475-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAMARTER",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD27858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madras, OR

Sources for this page

Verify at the official NPI Registry.