ROBERT DIDERICKSEN PMHNP-BC
NPI 1407231244
Nurse Practitioner - Psychiatric/Mental Health in Eugene, OR
About Robert Didericksen Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT DIDERICKSEN PMHNP-BC (NPI 1407231244) is an individual psychiatric/mental health provider in Eugene, Oregon, licensed in Colorado (0995173) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
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
Robert Didericksen Pmhnp-bc 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 Reassignment
Medicare enrollment records show Robert Didericksen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eugene, OR 97401
- Reassigned Medicare billing, Oregon enrollment
- 33 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 97401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EUGENE, OR 97401
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 Robert Didericksen's NPI number?
The NPI number for Robert Didericksen is 1407231244. It was assigned to this individual provider in the NPPES registry on July 22, 2015.
Where is Robert Didericksen located?
Robert Didericksen practices at 1501 Pearl St, Eugene, OR 97401. The listed phone number is (541) 342-8437.
What is Robert Didericksen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Robert Didericksen enrolled in Medicare?
Yes. Robert Didericksen 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 Robert Didericksen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Didericksen reassigns Medicare benefits to Center For Family Development, Inc. (Eugene, 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 Robert Didericksen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Didericksen accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Robert Didericksen 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 Robert Didericksen was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Robert Didericksen, PMHNP-BC · NPI 1407231244
Psychiatric/Mental Health physician in Eugene, Oregon. Individual provider, active in the CMS NPPES registry since July 22, 2015.
## Identity
- **NPI:** 1407231244 (Entity type: Individual)
- **Enumerated:** July 22, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0995173 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 PEARL ST, Eugene, OR 97401-4010
- **Phone:** (541) 342-8437
## 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:** Center For Family Development, Inc. (NPI 1265609184, Eugene, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407231244) · Data from the CMS NPPES public registry.