Active NPI
Dwight Carpen, FNP
- Family Nurse Practitioner
- Warm Springs, OR
National Provider Identifier
1982783460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201602863NP
- Practice address
- 1270 Kot-Num Road
Warm Springs, OR 97761 - Phone
- (541) 553-1196
- Fax
- (541) 553-2135
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201602863NP | OR | Primary |
Addresses
Primary practice location
1270 Kot-Num Road
Warm Springs, OR 97761
Mailing address
PO Box 1209
Warm Springs, OR 97761-1209
Phone (541) 553-1196
Other practice location 1
390 SE 10th St
Madras, OR 97741-1573
Phone (541) 383-3005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500638726 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201602863NP | OR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients | |
| Mosaic Community Health | Past | Accepting new patients | |
| Mosaic Community Health | Past | Accepting new patients | |
| Mosaic Community Health | Past | Accepting new patients |
Interoperability endpoints
- dcarpen258329@direct.ochin.org
Organizations & group practices 4
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.
-
dba Madras High School Based Health Center
- Federally Qualified Health Center (FQHC)
- Madras, OR
- NPI 1023567815
-
dba Mosaic Medical
- Federally Qualified Health Center (FQHC)
- Prineville, OR
- NPI 1083633184
-
dba Mosaic Medical
- Federally Qualified Health Center (FQHC)
- Madras, OR
- NPI 1457900011
-
dba PHS Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1982783460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1209",
"city": "WARM SPRINGS",
"state": "OR",
"postal_code": "977611209",
"telephone_number": "541-553-1196",
"fax_number": "541-553-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 KOT-NUM ROAD",
"city": "WARM SPRINGS",
"state": "OR",
"postal_code": "97761",
"telephone_number": "541-553-1196",
"fax_number": "541-553-2135"
}
],
"practiceLocations": [
{
"address_1": "390 SE 10th St",
"address_purpose": "LOCATION",
"city": "Madras",
"state": "OR",
"postal_code": "977411573",
"country_code": "US",
"telephone_number": "541-383-3005",
"fax_number": "541-383-1883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPEN",
"first_name": "DWIGHT",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201602863NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500638726",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warm Springs, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.