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Deactivated NPI 1386233757 Deactivated / Inactive NPI Male Practitioner

Brandon Roulet

Peer Specialist • Anchorage, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Brandon Roulet has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2021
NPI Deactivation Date April 29, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Brandon Roulet was a registered Peer Specialist practicing in Anchorage, AK. Throughout an active medical career spanning 3 years, Brandon Roulet provided care at the practice location at 3600 SAN JERONIMO DR until profile deactivation on 2024-04-29.

Practice Location & Contact Primary Location

Practice Address

3600 San Jeronimo Dr

Anchorage, AK 995082870

Telephone 9077933600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Anchorage, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
110 Specialists

Practicing in Anchorage, AK (581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
NPI 1013543800

PEERSUPPORT

Victoria Nathaniel

Counselor - Mental Health

NPI 1023743390
Angel Carroll

Counselor - Mental Health

NPI 1033991393
John Mccoy

Counselor - Mental Health

NPI 1043880305
Dr. Rachael Hacke , DNP, PMHNP, FNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063955482

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner, Family Nurse Practitioner

Eric Pavil

Technician, Health Information - Assistant Record Technician

NPI 1083322762

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 29, 2024

Record deactivated on April 29, 2024

NPI Profile Active January 11, 2021

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2021

Registered at 3600 SAN JERONIMO DR, ANCHORAGE, AK 995082870 (Tel: 9077933600)

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Updated Business Mailing Address January 11, 2021

Registered at 4057 E 20TH AVE UNIT 60, ANCHORAGE, AK 995083575 (Tel: 9076029134)

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Provider Name / Credentials Updated January 11, 2021

Recorded as BRANDON ROULET

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2021

Peer Specialist

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Initial NPI Registration & Enumeration January 11, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386233757
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2021
Last Update: January 11, 2021
Deactivation Date: April 29, 2024

Mailing Address

4057 E 20th Ave Unit 60

Anchorage, AK 995083575

Phone: 9076029134

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.