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ROBERT DIDERICKSEN PMHNP-BC
NPI 1407231244
Nurse Practitioner - Psychiatric/Mental Health in Eugene, OR

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment
1501 PEARL ST, EUGENE, OR 97401(541) 342-8437 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2021, Feb 1, 2020 (2 updates tracked since 2020).

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

NPI1407231244
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameROBERT DIDERICKSENCredential: PMHNP-BC
Location Address1501 PEARL STEugene, OR 97401-4010
Mailing Address1258 High StEugene, OR 97401-3238 · (541) 342-8437
Phone(541) 342-8437
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 22, 2015
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2021
✔ NPI 1407231244 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 CO · 0995173
1501 PEARL ST, Eugene, OR 97401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID143656710
PECOS Enrollment IDI20210618001566
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.

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.

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 7

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

DR. JUDITH A. WATKINS M.D.
Psychiatry & Neurology (Psychiatry)
1501 PEARL ST
EUGENE, OR 97401
Lane County (541) 342-8437
DR. THOMAS M BOYD PHD
Clinical Neuropsychologist
1501 PEARL ST
EUGENE, OR 97401
Lane County (541) 342-1980
RUTH A RALPH LPC
Counselor (Mental Health)
1501 PEARL ST
EUGENE, OR 97401
Lane County (541) 342-8437
COMMUNITY REHABILITATION SERVICES OF OREGON
Speech-Language Pathologist
1501 PEARL ST, SUITE B
EUGENE, OR 97401
Lane County (541) 342-1980
MARILYN SARA HABER MA, QMHP
Counselor (Mental Health)
1501 PEARL ST
EUGENE, OR 97401
Lane County (541) 342-8437
JULIANNA WINDING
Case Manager/Care Coordinator
1501 PEARL ST
EUGENE, OR 97401
Lane County (541) 342-8437
PALOMA GUADALUPE KOGAN
Social Worker (Clinical)
1501 PEARL ST
EUGENE, OR 97401
Lane County (541) 342-8437

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.

What insurance does Robert Didericksen accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon 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.