Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REBECCA PODHORA LICENSED LIMITED CORPORATION
NPI 1376207977
Nurse Practitioner - Psychiatric/Mental Health in Prineville, OR

Active since October 29, 2021
190 NW 4TH ST, PRINEVILLE, OR 97754(541) 233-7735(541) 566-7633 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Jan 10, 2023, Aug 16, 2022 (3 updates tracked since 2022).

About Rebecca Podhora Licensed Limited Corporation NPPES

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

REBECCA PODHORA LICENSED LIMITED CORPORATION (NPI 1376207977) is a healthcare organization registered as a psychiatric/mental health in Prineville, Oregon and active in the NPI registry since October 2021. The organization maintains a secondary practice location in Redmond and lists Rebecca Podhora, Owner, as its authorized official.

NPPES Registry Identity

NPI1376207977
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREBECCA PODHORA LICENSED LIMITED CORPORATION
Location Address190 NW 4TH STPrineville, OR 97754-1820
Mailing Address8081 Nw Sagebrush LnPrineville, OR 97754-8306 · (541) 233-7735 · Fax (541) 566-7633
Fax(541) 566-7633
Organization SubpartNo
Authorized OfficialRebecca PodhoraOwner · (541) 233-7735
Enumeration DateOctober 29, 2021
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1376207977 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
190 NW 4TH ST, Prineville, OR 97754

Secondary Practice Location 1

Location 1124 SW 8th StRedmond, OR 97756-2114 · Phone (541) 233-7735 · Fax (541) 566-7633

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Podhora Licensed Limited Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rebecca Podhora Licensed Limited Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1871711143
190 NW 4TH ST
Prineville, OR 97754
(541) 233-7735
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rebecca Podhora Licensed Limited Corporation's NPI number?

The NPI number for Rebecca Podhora Licensed Limited Corporation is 1376207977. It was assigned to this organization in the NPPES registry on October 29, 2021.

Where is Rebecca Podhora Licensed Limited Corporation located?

Rebecca Podhora Licensed Limited Corporation is located at 190 NW 4th St, Prineville, OR 97754. The listed phone number is (541) 233-7735.

What is Rebecca Podhora Licensed Limited Corporation's specialty?

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

Is Rebecca Podhora Licensed Limited Corporation enrolled in Medicare?

Yes. Rebecca Podhora Licensed Limited Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rebecca Podhora Licensed Limited Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rebecca Podhora Licensed Limited Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Rebecca Podhora Licensed Limited Corporation accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Rebecca Podhora Licensed Limited Corporation 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 Rebecca Podhora Licensed Limited Corporation was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.