BRYAN HARTER PMHNP
NPI 1063385326
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
About Bryan Harter Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYAN HARTER PMHNP (NPI 1063385326) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95037053) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bryan Harter Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bryan Harter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92105
- Reassigned Medicare billing, California enrollment
- 102 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92105
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bryan Harter's NPI number?
The NPI number for Bryan Harter is 1063385326. It was assigned to this individual provider in the NPPES registry on September 24, 2025.
Where is Bryan Harter located?
Bryan Harter practices at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 280-4213.
What is Bryan Harter's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Bryan Harter enrolled in Medicare?
Yes. Bryan Harter is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bryan Harter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Harter reassigns Medicare benefits to La Maestra Family Clinic, Inc. (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Harter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bryan Harter was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bryan Harter, PMHNP · NPI 1063385326
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 24, 2025.
## Identity
- **NPI:** 1063385326 (Entity type: Individual)
- **Enumerated:** September 24, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95037053 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4060 FAIRMOUNT AVE, San Diego, CA 92105-1608
- **Phone:** (619) 280-4213
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** La Maestra Family Clinic, Inc. (NPI 1609849074, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063385326) · Data from the CMS NPPES public registry.