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MR. BERHANU KEBEDE BEDASSA PMHNP
NPI 1093260622
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since August 24, 2016PECOS EnrolledAccepts Medicare Assignment
13250 NE SHAVER ST, PORTLAND, OR 97230(213) 249-6973 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, Jul 3, 2023, Dec 10, 2022 and 1 more (4 updates tracked since 2016).

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

NPI1093260622
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. BERHANU KEBEDE BEDASSACredential: PMHNP
Location Address13250 NE SHAVER STPortland, OR 97230-1453
Mailing Address13250 Ne Shaver StPortland, OR 97230-1453 · (213) 249-6973
Phone(213) 249-6973
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 24, 2016
Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1093260622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 201707152NP-PP✔ Licensed in WA · AP61370238
Also ListedRegistered NurseTaxonomy 163W00000X · License RN61256180 (WA), 201606248RN (OR)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95004776 (CA)
13250 NE SHAVER ST, Portland, OR 97230
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Secondary Practice Location 1

Location 112360 E Burnside StPortland, OR 97233-1042 · Phone (971) 279-4800 · Fax (971) 279-2051

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8527346543
PECOS Enrollment IDI20240717002545
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 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.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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.

What insurance does Berhanu Bedassa accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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 2 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.