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DAMAYANTI DASI BRADLEY PMHNP
NPI 1356202758
Nurse Practitioner - Psychiatric/Mental Health in Newport, OR

Active since November 24, 2025PECOS EnrolledAccepts Medicare Assignment
36 SW NYE ST, NEWPORT, OR 97365(541) 265-4947 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2026, Nov 24, 2025 (2 updates tracked since 2025).

About Damayanti Dasi Bradley Pmhnp NPPES

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

DAMAYANTI DASI BRADLEY PMHNP (NPI 1356202758) is an individual psychiatric/mental health provider in Newport, Oregon, licensed in Oregon (10049209) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1356202758
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDAMAYANTI DASI BRADLEYCredential: PMHNP
Location Address36 SW NYE STNewport, OR 97365-3821
Mailing Address36 Sw Nye StNewport, OR 97365-3821 · (541) 265-4947
Phone(541) 265-4947
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 24, 2025
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1356202758 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 · 10049209
36 SW NYE ST, Newport, OR 97365
Open in Google Maps ↗

Other Identifiers 1

Medicaid500877854OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Damayanti Dasi Bradley 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 ID7113498668
PECOS Enrollment IDI20260604003895
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.

Medicare Billing Reassignment

Medicare enrollment records show Damayanti Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Lincoln
Same address
Clinic/Center
36 SW NYE ST
Newport, OR 97365
  • Reassigned Medicare billing, Oregon enrollment
  • 28 clinicians in this Medicare group
NPI 1013626233 (541) 265-0468

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 97365 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.

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.

COUNTY OF LINCOLN
Clinic/Center
36 SW NYE ST
NEWPORT, OR 97365
Lincoln County (541) 265-0468
MICHAEL HENRY MAHLMAN M. ED
Counselor (Mental Health)
36 SW NYE ST
NEWPORT, OR 97365
Lincoln County (541) 265-6611
AMANDA CRYSTAL WILLIAMS CMA
Nurse's Aide
36 SW NYE ST
NEWPORT, OR 97365
Lincoln County (154) 126-5046
MRS. LORIE ANN KELLEY NORTON APRN
Nurse Practitioner (Family)
36 SW NYE ST
NEWPORT, OR 97365
Lincoln County (541) 265-4947
WILMA SANTIAGO
Community Health Worker
36 SW NYE ST
NEWPORT, OR 97365
Lincoln County (541) 265-4947
MARCIA JENNIFER ADAMS M.D.
Family Medicine
36 SW NYE ST
NEWPORT, OR 97365
Lincoln County (541) 265-6611
VALERIE D PETERSEN CADCII
Counselor (Addiction (Substance Use Disorder))
36 SW NYE ST
NEWPORT, OR 97365
Lincoln County (541) 265-0581
TIFFANY BYERS
Counselor (Mental Health)
36 SW NYE ST
NEWPORT, OR 97365
Lincoln County (541) 265-0412

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 Damayanti Bradley's NPI number?

The NPI number for Damayanti Bradley is 1356202758. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Damayanti Bradley located?

Damayanti Bradley practices at 36 SW Nye St, Newport, OR 97365. The listed phone number is (541) 265-4947.

What is Damayanti Bradley's specialty?

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

Is Damayanti Bradley enrolled in Medicare?

Yes. Damayanti Bradley 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 organization bills Medicare for Damayanti Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damayanti Bradley reassigns Medicare benefits to County Of Lincoln (Newport, OR). The 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 Damayanti Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Damayanti Bradley accept?

Health plans from Moda Health Plan, Inc. list Damayanti Bradley 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 Damayanti Bradley was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.