MRS. KACIE LAUREN BLACKWELL BERRY NP
NPI 1225675218
Nurse Practitioner - Psychiatric/Mental Health in Rogue River, OR
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kacie Berry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rogue River, OR 97537
- Reassigned Medicare billing, Oregon enrollment
Charleston, SC 29414
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
- 2,594 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 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.
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.
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.
Which organizations bill Medicare for Kacie Berry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kacie Berry reassigns Medicare benefits to 2 organizations: Harborside Psychiatry LLC (Rogue River, OR) and University Medical Associates (Charleston, SC). 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 Kacie Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kacie Berry accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Mrs. Kacie Lauren Blackwell Berry, NP · NPI 1225675218
Psychiatric/Mental Health physician in Rogue River, Oregon. Individual provider, active in the CMS NPPES registry since December 9, 2019.
## Identity
- **NPI:** 1225675218 (Entity type: Individual)
- **Enumerated:** December 9, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10030427 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 213 E MAIN ST, Rogue River, OR 97537-9100
- **Phone:** (541) 714-5610 · **Fax:** (541) 714-5611
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Harborside Psychiatry LLC (NPI 1881404200, Rogue River, OR); University Medical Associates (NPI 1760413835, Charleston, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225675218) · Data from the CMS NPPES public registry.