MRS. KACIE LAUREN BLACKWELL BERRY NP
NPI 1225675218
Nurse Practitioner - Psychiatric/Mental Health in Rogue River, OR

Active since December 09, 2019PECOS EnrolledAccepts Medicare Assignment
73.84/100
CMS Quality Rating
213 E MAIN ST, ROGUE RIVER, OR 97537(541) 714-5610(541) 714-5611 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2024, Dec 9, 2019 (2 updates tracked since 2019).

About Mrs. Kacie Lauren Blackwell Berry Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KACIE LAUREN BLACKWELL BERRY NP (NPI 1225675218) is an individual psychiatric/mental health provider in Rogue River, Oregon, licensed in Oregon (10030427) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225675218
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KACIE LAUREN BLACKWELL BERRYCredential: NP
Location Address213 E MAIN STRogue River, OR 97537-9100
Mailing Address213 E Main StRogue River, OR 97537-9100 · (541) 714-5610 · Fax (541) 714-5611
Fax(541) 714-5611
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 9, 2019
Last NPPES UpdateJanuary 17, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2025
NPI 1225675218 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 OR · 10030427
213 E MAIN ST, Rogue River, OR 97537

Accepted 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

Mrs. Kacie Lauren Blackwell Berry Np 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 ID5496132227
PECOS Enrollment IDI20251121004135
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 97537 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.28
Promoting Interoperability99
Improvement Activities40
Cost53.36

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 Kacie Berry's NPI number?

The NPI number for Kacie Berry is 1225675218. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Kacie Berry located?

Kacie Berry practices at 213 E Main St, Rogue River, OR 97537. The listed phone number is (541) 714-5610.

What is Kacie Berry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kacie Berry enrolled in Medicare?

Yes. Kacie Berry 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 Kacie Berry accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kacie Berry 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 Kacie Berry was last updated on January 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.