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

Q: 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.

Q: What is Dezirae Berry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dezirae Berry was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

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: October 18, 2026.

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

On this page

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Dezirae Berry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tri-State Memorial Hospital

0.1 mi

Family Medicine

1221 HIGHLAND AVE
Clarkston, WA 99403

Reassigned Medicare billing, Washington enrollment
Also billed through NPI 1598814352 (Washington)
144 clinicians in this Medicare group

NPI 1932405693 (509) 758-5511

Vannvei LLC

2.2 mi

Multi-Specialty

1522 17TH ST
Lewiston, ID 83501

Reassigned Medicare billing, Idaho enrollment
32 clinicians in this Medicare group

NPI 1881200517 (208) 743-8416

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 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.

Which organizations bill Medicare for Dezirae Berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dezirae Berry reassigns Medicare benefits to 2 organizations: Tri-State Memorial Hospital (Clarkston, WA) and Vannvei LLC (Lewiston, ID). Each 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 Dezirae Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.