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DEZIRAE E BERRY NP-C
NPI 1740994268
Nurse Practitioner - Family in Clarkston, WA

Active since January 09, 2023PECOS Enrolled
1119 HIGHLAND AVE, CLARKSTON, WA 99403(509) 769-2269(509) 769-2270 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2025, May 22, 2023, Jan 9, 2023 (3 updates tracked since 2023).

About Dezirae E Berry Np-c NPPES

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

DEZIRAE E BERRY NP-C (NPI 1740994268) is an individual family provider in Clarkston, Washington, licensed in Idaho (55464) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740994268
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEZIRAE E BERRYCredential: NP-C
Location Address1119 HIGHLAND AVEClarkston, WA 99403-2836
Mailing Address1522 17th StLewiston, ID 83501-3652 · (208) 743-8416 · Fax (208) 743-4642
Phone(509) 769-2269
Fax(509) 769-2270
Sole ProprietorNo
Enumeration DateJanuary 9, 2023
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1740994268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in ID · 55464✔ Licensed in WA · N361446320
Also ListedRegistered NurseTaxonomy 163W00000X · License 55464 (ID)
1119 HIGHLAND AVE, Clarkston, WA 99403
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dezirae E Berry Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99403 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 14

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

TRI-STATE S.P.O.R.T. PHYSICAL THERAPY CLINIC
Clinic/Center (Physical Therapy)
1119 HIGHLAND AVE, STE 2
CLARKSTON, WA 99403
Asotin County (509) 758-9404
LAURE M LARSEN ARNP
Nurse Practitioner (Primary Care)
1119 HIGHLAND AVE
CLARKSTON, WA 99403
Asotin County (509) 780-4450
JULIUS SZIGETI MD
Obstetrics & Gynecology
1119 HIGHLAND AVE
CLARKSTON, WA 99403
Asotin County (509) 769-2269
DR. KENNETH ALAN BERGER MD
Urology
1119 HIGHLAND AVE
CLARKSTON, WA 99403
Asotin County (509) 758-5511
DR. DONALD ANTHONY NORMAN MD
Obstetrics & Gynecology (Gynecology)
1119 HIGHLAND AVE, SUITE 6
CLARKSTON, WA 99403
Asotin County (509) 254-2722
NOLAN DERR MD
Internal Medicine
1119 HIGHLAND AVE
CLARKSTON, WA 99403
Asotin County (509) 254-2722
LEWIS CLARK ORAL SURGERY
Clinic/Center (Dental)
1119 HIGHLAND AVE, NUMBER 6
CLARKSTON, WA 99403
Asotin County (509) 751-1110
DANIEL RYAN MD
Internal Medicine
1119 HIGHLAND AVE
CLARKSTON, WA 99403
Asotin County (509) 758-4450

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 Dezirae Berry's NPI number?

The NPI number for Dezirae Berry is 1740994268. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Dezirae Berry located?

Dezirae Berry practices at 1119 Highland Ave, Clarkston, WA 99403. The listed phone number is (509) 769-2269.

What is Dezirae Berry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dezirae Berry enrolled in Medicare?

Yes. Dezirae Berry is registered in the Medicare PECOS enrollment system.

What insurance does Dezirae Berry accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Dezirae Berry 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 Dezirae Berry was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.