Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desirae Dawn Rathbone, AG-ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1720721392

Desirae Dawn Rathbone, AG-ACNP-BC is a Nurse Practitioner in Klamath Falls, Oregon. Qualified in 2022, 4 years ago. Practices with Sky Lakes Medical Center Inc, a 197-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
4
Licensed in
AZ, OR
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone: (541) 274-6101
Fax: (541) 274-6106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 S Alma School Rd, Chandler, AZ 85248-4499 — (602) 551-7161

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 10002748 (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 273896 (AZ)

Record details

NPI number1720721392
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP-BC
Sole proprietorNo
NPI enumeratedApril 20, 2022
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sky Lakes Medical Center Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount