Active NPI
Katie Flickinger
- Family Nurse Practitioner
- Siletz, OR
National Provider Identifier
1982142998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10037068
- Practice address
- 200 Gwee Shut Rd
Siletz, OR 97380-2036 - Phone
- (541) 444-1030
- NPI assigned
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 247118 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 247118 | AZ | |
| Registered Nurse | 163W00000X | 10037068 | OR | |
| Registered Nurse | 163W00000X | RN182485 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 10037068 | OR | Primary |
Addresses
Primary practice location
200 Gwee Shut Rd
Siletz, OR 97380-2036
Mailing address
PO Box 320
Siletz, OR 97380-0320
Phone (541) 444-1030
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1831 SW Hwy 101
Lincoln City, OR 97367-2356
Phone (541) 444-1030
200 Gwee Shut Rd
Siletz, OR 97380-2036
Phone (541) 444-1030
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN182485 | AZ | MD | Registered Nurse |
| 10037068 | OR | MD | Registered Nurse |
| 247118 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Confederated Tribes of Siletz | Current | Accepting new patients | |
| Confederated Tribes of Siletz | Current | Accepting new patients |
Interoperability endpoints
- katie.flickinger.p1@direct.siletzhealthclinic.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Siletz, OR
- NPI 1316040249
-
- Federally Qualified Health Center (FQHC)
- Lincoln City, OR
- NPI 1306667845
Hospital & facility affiliations 42
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Corvallis, OR
- NPI 1134552003
Hospital
-
- Obstetrics & Gynecology Physician
- Corvallis, OR
- NPI 1275882102
Hospital
-
- Infectious Disease Physician
- Corvallis, OR
- NPI 1407112642
Hospital
-
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1982142998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320",
"city": "SILETZ",
"state": "OR",
"postal_code": "973800320",
"telephone_number": "541-444-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GWEE SHUT RD",
"city": "SILETZ",
"state": "OR",
"postal_code": "973802036",
"telephone_number": "541-444-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLICKINGER",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "247118",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "247118",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "10037068",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN182485",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10037068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Siletz, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.