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DEBRA M BATES PMHNP-BC
NPI 1457928764
Nurse Practitioner - Psychiatric/Mental Health in Encinitas, CA

Active since June 06, 2021PECOS EnrolledAccepts Medicare Assignment
1152 HERMES AVE, ENCINITAS, CA 92024(808) 281-9342 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 25, 2023, Feb 28, 2022, Jun 6, 2021 (3 updates tracked since 2021).

About Debra M Bates Pmhnp-bc NPPES

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

DEBRA M BATES PMHNP-BC (NPI 1457928764) is an individual psychiatric/mental health provider in Encinitas, California, licensed in California (95020063) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457928764
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDEBRA M BATESCredential: PMHNP-BC
Location Address1152 HERMES AVEEncinitas, CA 92024-1606
Mailing AddressPo Box 1154Makawao, HI 96768-1154 · (808) 281-9342
Phone(808) 281-9342
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 6, 2021
Last NPPES UpdateJanuary 25, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1457928764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95020063
Also ListedRegistered NurseTaxonomy 163W00000X · License 346589 (CA)
1152 HERMES AVE, Encinitas, CA 92024
Open in Google Maps ↗

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 HMSA, UnitedHealthcare.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

Debra M Bates 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 ID3678935590
PECOS Enrollment IDI20230809002735
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 Debra Bates reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hoomalie Psychiatry LLC
2,552 mi
Psychiatric/Mental Health
673 KAAKOLU ST
Lahaina, HI 96761
  • Reassigned Medicare billing, Colorado enrollment
NPI 1578348751 (808) 281-9342

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 92024 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Debra Bates's NPI number?

The NPI number for Debra Bates is 1457928764. It was assigned to this individual provider in the NPPES registry on June 6, 2021.

Where is Debra Bates located?

Debra Bates practices at 1152 Hermes Ave, Encinitas, CA 92024. The listed phone number is (808) 281-9342.

What is Debra Bates's specialty?

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

Is Debra Bates enrolled in Medicare?

Yes. Debra Bates 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 Debra Bates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Debra Bates reassigns Medicare benefits to Hoomalie Psychiatry LLC (Lahaina, HI). 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 Debra Bates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Debra Bates accept?

Health plans from HMSA and UnitedHealthcare list Debra Bates 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 Debra Bates was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.