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BREA DI DATO FNP, PMHNP
NPI 1770025959
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR

Active since November 05, 2016PECOS EnrolledAccepts Medicare Assignment
1001 SW DISK DR STE 250, BEND, OR 97702(541) 293-1325(541) 229-1314 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2024, Feb 17, 2022, Sep 27, 2021 and 7 more (10 updates tracked since 2016).

About Brea Di Dato Fnp, Pmhnp NPPES

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

BREA DI DATO FNP, PMHNP (NPI 1770025959) is an individual psychiatric/mental health provider in Bend, Oregon, licensed in Oregon (201906949NP-PP) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770025959
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBREA DI DATOCredential: FNP, PMHNP
Location Address1001 SW DISK DR STE 250Bend, OR 97702-3754
Mailing Address1001 Sw Disk Dr Ste 250Bend, OR 97702-3754 · (541) 293-1325 · Fax (541) 229-1314
Phone(541) 293-1325
Fax(541) 229-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 5, 2016
Last NPPES UpdateSeptember 23, 202410 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1770025959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 201906949NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 201902570RN (OR)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 201906949NP-PP (OR)
1001 SW DISK DR STE 250, Bend, OR 97702
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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 and accepts Medicare assignment

Brea Di Dato Fnp, Pmhnp 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 ID4688005101
PECOS Enrollment IDI20220219000027
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 Brea Di Dato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pivot Behavioral Health LLC
Same address
Psychiatric/Mental Health
1001 SW DISK DR STE 250
Bend, OR 97702
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
NPI 1447926829 (541) 293-1325

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 97702 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 13

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

JANE HARRELL UNTERBERGER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1001 SW DISK DR STE 250
BEND, OR 97702
Deschutes County (541) 293-1325
MS. PATRICIA C MERRITT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1001 SW DISK DR STE 250
BEND, OR 97702
Deschutes County (541) 293-1325
HEARTFELT PEDIATRICS, LLC
Pediatrics
1001 SW DISK DR STE 250
BEND, OR 97702
Deschutes County (541) 859-3550
GLORIA SIM LE FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1001 SW DISK DR STE 250
BEND, OR 97702
Deschutes County (541) 293-1325
PIVOT BEHAVIORAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
1001 SW DISK DR STE 250
BEND, OR 97702
Deschutes County (541) 293-1325
MS. WHITNEY C MARTIN DNP, FNP-BC
Nurse Practitioner (Family)
1001 SW DISK DR STE 250
BEND, OR 97702
Deschutes County (541) 293-1325
COURTNEY ANN ARVIZU PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1001 SW DISK DR STE 250
BEND, OR 97702
Deschutes County (541) 293-1325
JULIA E JANSEN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1001 SW DISK DR STE 250
BEND, OR 97702
Deschutes County (541) 293-1325

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 Brea Di Dato's NPI number?

The NPI number for Brea Di Dato is 1770025959. It was assigned to this individual provider in the NPPES registry on November 5, 2016.

Where is Brea Di Dato located?

Brea Di Dato practices at 1001 SW Disk Dr Ste 250, Bend, OR 97702. The listed phone number is (541) 293-1325.

What is Brea Di Dato's specialty?

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

Is Brea Di Dato enrolled in Medicare?

Yes. Brea Di Dato 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 Brea Di Dato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brea Di Dato reassigns Medicare benefits to Pivot Behavioral Health LLC (Bend, 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 Brea Di Dato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brea Di Dato accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Brea Di Dato 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 Brea Di Dato was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.