BRYAN M HAGEN DNP, PMHNP
NPI 1790872000
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR

Active since October 06, 2006PECOS Enrolled
908 NE 4TH ST STE 100, BEND, OR 97701(541) 617-7365 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2025, Sep 2, 2025, Sep 8, 2020 and 2 more (5 updates tracked since 2017).

About Bryan M Hagen Dnp, Pmhnp NPPES

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

BRYAN M HAGEN DNP, PMHNP (NPI 1790872000) is an individual psychiatric/mental health provider in Bend, Oregon, licensed in Oregon (201250173NP) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790872000
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBRYAN M HAGENCredential: DNP, PMHNP
Location Address908 NE 4TH ST STE 100Bend, OR 97701-4646
Mailing Address685 Se 3rd StBend, OR 97702-1754 · (541) 617-7365
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateOctober 8, 20255 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1790872000 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 OR · 201250173NP
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 201042999RN (OR)
908 NE 4TH ST STE 100, Bend, OR 97701

Other Identifiers 1

Medicaid500689745OR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan M Hagen Dnp, Pmhnp 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 Bryan Hagen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
5415 SW WESTGATE DRIVE
Portland, OR 97221
  • Reassigned Medicare billing, Oregon enrollment
  • 50 clinicians in this Medicare group

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 97701 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 2

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

Peer Specialist
908 NE 4TH ST STE 100
BEND, OR 97701
Counselor (Addiction (Substance Use Disorder))
908 NE 4TH ST STE 100
BEND, OR 97701

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 Bryan Hagen's NPI number?

The NPI number for Bryan Hagen is 1790872000. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Bryan Hagen located?

Bryan Hagen practices at 908 NE 4th St Ste 100, Bend, OR 97701. The listed phone number is (541) 617-7365.

What is Bryan Hagen's specialty?

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

Is Bryan Hagen enrolled in Medicare?

Yes. Bryan Hagen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bryan Hagen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Hagen reassigns Medicare benefits to Lifeworks NW (Portland, 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 Bryan Hagen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Hagen accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Bryan Hagen 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 Bryan Hagen 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 13 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.