BRYAN HARTER PMHNP
NPI 1063385326
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since September 24, 2025PECOS Enrolled
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 280-4213 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1063385326
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBRYAN HARTERCredential: PMHNP
Location Address4060 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 280-4213
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 24, 2025
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
NPI 1063385326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95037053
4060 FAIRMOUNT AVE, San Diego, CA 92105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bryan Harter Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931692332
PECOS Enrollment IDI20251203004594
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Optometrist
4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105
Counselor (Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Student in an Organized Health Care Education/Training Program
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Internal Medicine
4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105
Psychologist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Social Worker (Clinical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Pediatrics
4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT
SAN DIEGO, CA 92105
Social Worker
4060 FAIRMOUNT AVE
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.

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 10 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.