MR. JUSTIN NICHOLAS BETHONEY N.P.
NPI 1396051637
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR

Active since August 24, 2010Opted out of Medicare · through Jul 1, 2028
151 SW SHEVLIN HIXON DR STE 102, BEND, OR 97702(458) 206-6251(224) 215-3993 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mr. Justin Nicholas Bethoney N.p. NPPES

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

MR. JUSTIN NICHOLAS BETHONEY N.P. (NPI 1396051637) is an individual psychiatric/mental health provider in Bend, Oregon, licensed in Oregon (201501392NP-PP) and active in the NPI registry since August 2010. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1396051637
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JUSTIN NICHOLAS BETHONEYCredential: N.P.
Location Address151 SW SHEVLIN HIXON DR STE 102Bend, OR 97702-3232
Mailing Address151 Sw Shevlin Hixon Dr Ste 102Bend, OR 97702-3232 · (458) 206-6251 · Fax (224) 215-3993
Fax(224) 215-3993
Sole ProprietorNo
Enumeration DateAugust 24, 2010
Last NPPES UpdateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1396051637 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 · 201501392NP-PP✔ Licensed in CA · 95001312
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License RN2264824 (MA)
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentTaxonomy 364SP0807X · License RN2264824 (MA)
151 SW SHEVLIN HIXON DR STE 102, Bend, OR 97702

Secondary Practice Location 1

Location 14525 E Atherton StLong Beach, CA 90815-3700 · Phone (562) 961-0155 · Fax (562) 961-0161

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Justin Nicholas Bethoney N.p. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97702 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
151 SW SHEVLIN HIXON DR STE 102
BEND, OR 97702
Massage Therapist
151 SW SHEVLIN HIXON DR STE 102
BEND, OR 97702
Nurse Practitioner (Psychiatric/Mental Health)
151 SW SHEVLIN HIXON DR STE 102
BEND, OR 97702
Clinic/Center (Rehabilitation, Substance Use Disorder)
151 SW SHEVLIN HIXON DR STE 102
BEND, OR 97702

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 Justin Bethoney's NPI number?

The NPI number for Justin Bethoney is 1396051637. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Justin Bethoney located?

Justin Bethoney practices at 151 SW Shevlin Hixon Dr Ste 102, Bend, OR 97702. The listed phone number is (458) 206-6251.

What is Justin Bethoney's specialty?

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

Is Justin Bethoney enrolled in Medicare?

No. Justin Bethoney has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Justin Bethoney accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Justin Bethoney 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 Justin Bethoney was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.