David J Klarberg, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20180868NP-PP Issued in OR

Practice address

9300 SE 91St Ave Ste 400
Happy Valley, OR 97086-3762

Phone

(503) 775-6500

Fax

(503) 775-2275

NPI assigned

May 9, 2012

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Perelman School of Med at the University of Pennsylvania, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Joseph P. Stapleton, MD PCGroup PAC ID 4385676493, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.63 of 100Reported as group

Quality

81.27

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Joseph P Stapleton MD, PC

  dba Portland Pain Care

  • Pain Medicine (Anesthesiology) Physician
  • Portland, OR
  • NPI 1376728097
  Medicare reassignment Care Compare group NPD
• Pearl Health Center,PC

  • Primary Care Clinic/Center
  • Portland, OR
  • NPI 1104918275
  Medicare reassignment NPD

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1922367044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 400",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "832-548-5076",
            "fax_number": "503-775-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 400",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-775-6500",
            "fax_number": "503-775-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1849 NE 106th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "970066465",
            "country_code": "US",
            "telephone_number": "503-775-6500",
            "fax_number": "503-775-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLARBERG",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "20180868NP-PP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "816544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080462703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500757516",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darcy Brook Kennedy, LCSW
• Holly Michelle Kiesz-Royer, SLP
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• Jamelle King
• Jacob Gabriel Kirkwood, PMHNP
• Laurie Akemi Kobatake, OTRL
• Vera Krasnogorov
• Andrew D Kroeker, M.D.
• Rachel Kropf
• Karen Kuo, PT, DPT

• Family Nurse Practitioner in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.