Individual provider Active NPI

Andrew Kent Bader, PA-C

  • Medical Physician Assistant
  • Klamath Falls, OR
National Provider Identifier
1932437589
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0386 Issued in NV
Practice address
6000 New Way
Klamath Falls, OR 97601-9382
Phone
(541) 882-1487
NPI assigned
Nov 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0386 NV Primary
Independent Medical Examiner ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NI0013X B0998 NV
Physician Assistant 363A00000X PA2013 NV

Addresses

Primary practice location

6000 New Way
Klamath Falls, OR 97601-9382

Mailing address

3949 S 6TH St Ste A202
Klamath Falls, OR 97603-4792
Phone (541) 882-1487

Other practice location 1

330 S Chiloquin Blvd
Chiloquin, OR 97624-6747
Phone (541) 882-1487

Other names 1

  • Andrew Kent Bader Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050407000918 NV Practitioner - Chiropractic 7315994639 Reassigns benefits to 1 organization
I20250924000961 TX Practitioner - Physician Assistant 7315994639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reno Sparks Indian ColonyGroup PAC ID 6507761897, 17 clinicians

Practice addresses (Care Compare)

1715 Kuenzli St
Reno, NV 89502-1117
Phone (775) 329-5162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0386NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Klamath Tribal Health & Family Services Single Specialty PastSince Oct 5, 2016 Accepting new patients
Lawrence R. Davis Single Specialty PastSince Jan 18, 2017 Accepting new patients
Dakota Specialty Institute Single Specialty Past Accepting new patients
Klamath Tribal Health & Family Services PastSince May 14, 2023 Accepting new patients
Specialty Health Clinic Single Specialty PastSince Oct 24, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abader@plthc.directbygreenway.com
  • Direct secure messaging: andrew.bader.p1@direct.rsthc.nextgenshare.com

Organizations & group practices 6

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": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1932437589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 S 6TH ST STE A202",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034792",
            "telephone_number": "541-882-1487",
            "fax_number": "775-574-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 NEW WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019382",
            "telephone_number": "541-882-1487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 S Chiloquin Blvd",
            "address_purpose": "LOCATION",
            "city": "Chiloquin",
            "state": "OR",
            "postal_code": "976246747",
            "country_code": "US",
            "telephone_number": "541-882-1487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADER",
        "first_name": "ANDREW",
        "middle_name": "KENT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-19",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA0386",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NV",
            "license": "B0998",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "BADER",
            "middle_name": "KENT",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.