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

DR. NIKI DESANTO AMSDEN PH.D.
NPI 1497159461
Clinical Neuropsychologist in Roseburg, OR

Active since October 20, 2014PECOS Enrolled
2700 STEWART PARKWAY, ANNEX B, ROSEBURG, OR 97471(541) 440-3532(541) 440-3554 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Niki Desanto Amsden Ph.d. NPPES

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

DR. NIKI DESANTO AMSDEN PH.D. (NPI 1497159461) is an individual clinical neuropsychologist in Roseburg, Oregon, licensed in Oregon (2464) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brookings.

NPPES Registry Identity

NPI1497159461
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. NIKI DESANTO AMSDENCredential: PH.D.
Location Address2700 STEWART PARKWAY, ANNEX BRoseburg, OR 97471
Mailing Address272 Nw Medical Loop Ste ERoseburg, OR 97471-5545 · (541) 440-3532 · Fax (541) 440-3554
Phone(541) 440-3532
Fax(541) 440-3554
Sole ProprietorNo
Enumeration DateOctober 20, 2014
Last NPPES UpdateSeptember 21, 2026
NPPES CertifiedSeptember 21, 2026
✔ NPI 1497159461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in OR · 2464
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY 12507 (CA)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 2464 (OR)
2700 STEWART PARKWAY, Roseburg, OR 97471
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Other Names 1

Former Name (1)Dr. Niki Andrea Desanto Ph.d.

Secondary Practice Location 1

Location 1500 5th StBrookings, OR 97415-9702 · Phone (541) 412-2000 · Fax (541) 412-2081

Other Identifiers 1

Medicaid500679588OR

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Niki Desanto Amsden Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Niki Amsden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Curry Health District
66 mi
Rural Health
525 MADRONA ST
Port Orford, OR 97465
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1487696985 (Oregon)
  • 66 clinicians in this Medicare group
NPI 1811939093 (541) 332-3861

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

Other Providers at the Same Location NPPES 15

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

TAWNIE GOETZ-KENNEDY
Community Health Worker
2700 STEWART PARKWAY, ANNEX B
ROSEBURG, OR 97471
Douglas County (541) 440-3532
ANGELA MARIE GROSS
Case Manager/Care Coordinator
2700 STEWART PARKWAY, ANNEX B
ROSEBURG, OR 97471
Douglas County (541) 440-3532
JOLENE MARIE ROGERS QMHA
Case Manager/Care Coordinator
2700 STEWART PARKWAY, ANNEX B
ROSEBURG, OR 97471
Douglas County (541) 440-3532
MRS. IMEYA RAYE HUNTLEY QMHA
Case Manager/Care Coordinator
2700 STEWART PARKWAY, ANNEX B
ROSEBURG, OR 97471
Douglas County (541) 440-3532
LORIANN BARBER MA
Case Manager/Care Coordinator
2700 STEWART PARKWAY, ANNEX B
ROSEBURG, OR 97471
Douglas County (541) 440-3532
LISA DAWN DISANTE BSN, RN, BC
Community Health Worker
2700 STEWART PARKWAY, ANNEX B
ROSEBURG, OR 97471
Douglas County (541) 440-3532
STACI BRYAN
Case Manager/Care Coordinator
2700 STEWART PARKWAY, ANNEX B
ROSEBURG, OR 97471
Douglas County (541) 440-3532
PETER JAMES DAVIDSON MD
Psychiatry & Neurology (Psychiatry)
2700 STEWART PARKWAY, ANNEX B
ROSEBURG, OR 97471
Douglas County (541) 440-3532

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 Niki Amsden's NPI number?

The NPI number for Niki Amsden is 1497159461. It was assigned to this individual provider in the NPPES registry on October 20, 2014. The provider is also known as Dr. Niki Andrea Desanto Ph.D..

Where is Niki Amsden located?

Niki Amsden practices at 2700 Stewart Parkway Annex B, Roseburg, OR 97471. The listed phone number is (541) 440-3532.

What is Niki Amsden's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Niki Amsden enrolled in Medicare?

Yes. Niki Amsden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Niki Amsden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niki Amsden reassigns Medicare benefits to Curry Health District (Port Orford, 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 Niki Amsden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niki Amsden accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Niki Amsden 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 Niki Amsden was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 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.