MR. BRANDON BOSCH PMHNP, FNP-BC
NPI 1902203367
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since December 01, 2014PECOS EnrolledAccepts Medicare Assignment
4212 SE DIVISION ST STE 100, PORTLAND, OR 97206(503) 963-2575(503) 327-8796 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2024, Jul 22, 2024, Jul 24, 2023 and 2 more (5 updates tracked since 2017).

About Mr. Brandon Bosch Pmhnp, Fnp-bc NPPES

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

MR. BRANDON BOSCH PMHNP, FNP-BC (NPI 1902203367) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10009817) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902203367
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. BRANDON BOSCHCredential: PMHNP, FNP-BC
Location Address4212 SE DIVISION ST STE 100Portland, OR 97206-1680
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769 · Fax (503) 764-9042
Fax(503) 327-8796
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 1, 2014
Last NPPES UpdateAugust 21, 20245 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1902203367 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
Licenses Licensed in OR · 10009817 Licensed in WA · AP60801886
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP60801886 (WA)
4212 SE DIVISION ST STE 100, Portland, OR 97206

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Brandon Bosch Pmhnp, Fnp-bc 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 ID6305104860
PECOS Enrollment IDI20240909001124
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 97206 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

Peer Specialist
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Case Manager/Care Coordinator
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Social Worker (Clinical)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Social Worker (Clinical)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Social Worker (Clinical)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206
Counselor (Professional)
4212 SE DIVISION ST STE 100
PORTLAND, OR 97206

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 Brandon Bosch's NPI number?

The NPI number for Brandon Bosch is 1902203367. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Where is Brandon Bosch located?

Brandon Bosch practices at 4212 SE Division St Ste 100, Portland, OR 97206. The listed phone number is (503) 963-2575.

What is Brandon Bosch's specialty?

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

Is Brandon Bosch enrolled in Medicare?

Yes. Brandon Bosch 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.

What insurance does Brandon Bosch accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Brandon Bosch 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 Brandon Bosch was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.