Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912771833 Individual Practitioner Male Practitioner

Michael Mcclusky

Peer Specialist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Michael Mcclusky is a registered healthcare professional specializing in Peer Specialist in Fargo, ND. Practice services are available at 921 2ND AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

921 2nd Ave S

Fargo, ND 581031705

Telephone 1218790844
Associated Practice Facility / Clinic
🏢 Light House Recovery Services Facility NPI 1144920828

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Fargo, ND

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

Practicing in Fargo, ND (296 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

CMS Verified: 2023-11-10
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

26 Associated Practitioners
Ethan Oftedahl

Peer Specialist

NPI 1003769779
Kris Strouse

Peer Specialist

NPI 1073394144
Millennium Falcon

Peer Specialist

NPI 1144918723
Shane Kayeska

Peer Specialist

NPI 1174218473
Jamie Mabe

Peer Specialist

NPI 1245911346
Nicholas Senn

Peer Specialist

NPI 1336011519

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 10, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2023

Registered at 921 2ND AVE S, FARGO, ND 581031705 (Tel: 1218790844)

📍
Updated Business Mailing Address November 10, 2023

Registered at 921 2ND AVE S, FARGO, ND 581031705 (Tel: 1218790844)

👤
Provider Name / Credentials Updated November 10, 2023

Recorded as MICHAEL MCCLUSKY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration November 10, 2023

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: 1912771833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2023
Last Update: November 10, 2023
Sole Proprietor: No

Mailing Address

921 2nd Ave S

Fargo, ND 581031705

Phone: 1218790844

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.