MR. BERHANU KEBEDE BEDASSA PMHNP
NPI 1093260622
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Mr. Berhanu Kebede Bedassa Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BERHANU KEBEDE BEDASSA PMHNP (NPI 1093260622) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201707152NP-PP) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Berhanu Kebede Bedassa Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Berhanu Bedassa reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97213
- Reassigned Medicare billing, Oregon and Washington enrollments
Harrisburg, OR 97446
- Reassigned Medicare billing, Oregon enrollment
- 190 clinicians in this Medicare group
Crescent City, CA 95531
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
Bakersfield, CA 93312
- Reassigned Medicare billing, California enrollment
- 225 clinicians in this Medicare group
Bakersfield, CA 93301
- Reassigned Medicare billing, California enrollment
- 163 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 97230 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97230
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 Berhanu Bedassa's NPI number?
The NPI number for Berhanu Bedassa is 1093260622. It was assigned to this individual provider in the NPPES registry on August 24, 2016.
Where is Berhanu Bedassa located?
Berhanu Bedassa practices at 13250 NE Shaver St, Portland, OR 97230. The listed phone number is (213) 249-6973.
What is Berhanu Bedassa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Berhanu Bedassa enrolled in Medicare?
Yes. Berhanu Bedassa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Berhanu Bedassa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Berhanu Bedassa reassigns Medicare benefits to 5 organizations: Bridge Of Hope Mental Health Services LLC (Portland, OR), Icco LLC (Harrisburg, OR), Cep America-California (Crescent City, CA), Emergency Physicians Urgent Care Inc. (Bakersfield, CA) and Grand Avenue Emergency Physicians Medical Group Inc (Bakersfield, CA). Each 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 Berhanu Bedassa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Berhanu Bedassa accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Berhanu Bedassa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Berhanu Bedassa was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Mr. Berhanu Kebede Bedassa, PMHNP · NPI 1093260622
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 24, 2016.
## Identity
- **NPI:** 1093260622 (Entity type: Individual)
- **Enumerated:** August 24, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 201707152NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 13250 NE SHAVER ST, Portland, OR 97230-1453
- **Phone:** (213) 249-6973
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Bridge Of Hope Mental Health Services LLC (NPI 1083326367, Portland, OR); Icco LLC (NPI 1922458371, Harrisburg, OR); Cep America-California (NPI 1366124364, Crescent City, CA); Emergency Physicians Urgent Care Inc. (NPI 1689963845, Bakersfield, CA); Grand Avenue Emergency Physicians Medical Group Inc (NPI 1962913632, Bakersfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093260622) · Data from the CMS NPPES public registry.