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

Stephen Daniel Krivan, PA-C

Individual provider Surgical Physician Assistant · NPI 1164934865

Stephen Daniel Krivan, PA-C is a Physician Assistant in Bend, Oregon. Qualified in 2017, 9 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2200 NE Neff Rd Ste 302
Bend, OR 97701-4279
Phone: (541) 706-4220
Fax: (541) 597-5819
Show map & directions

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

Additional practice locations (1)

  • 747 Broadway, Seattle, WA 98122-4379 — (206) 215-2520

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61073127 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA61073127 (WA)

Record details

NPI number1164934865
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 2, 2017
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing addressPo Box 25608, Salt Lake City, UT 84125-0608

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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