Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962223388 Individual Practitioner Male Practitioner

Jimmy Ray Vanbuskirk

Peer Specialist • Bethany, OK

Professional Overview & Biography Verified Profile Summary

Jimmy Vanbuskirk is a registered healthcare professional specializing in Peer Specialist in Bethany, OK. Practice services are available at 6717 NW 29TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6717 Nw 29th St

Bethany, OK 730084729

Telephone 4045318035

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Bethany, OK

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

Practicing in Bethany, OK (5280 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: 2024-10-18
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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 18, 2024

NPI status registered as active in NPPES database

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Updated Practice Location October 18, 2024

Registered at 6717 NW 29TH ST, BETHANY, OK 730084729 (Tel: 4045318035)

📍
Updated Business Mailing Address October 18, 2024

Registered at 6717 NW 29TH ST, BETHANY, OK 730084729 (Tel: 4045318035)

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Provider Name / Credentials Updated October 18, 2024

Recorded as JIMMY VANBUSKIRK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2024

Peer Specialist

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Initial NPI Registration & Enumeration October 18, 2024

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: 1962223388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2024
Last Update: October 18, 2024
Sole Proprietor: Yes

Mailing Address

6717 Nw 29th St

Bethany, OK 730084729

Phone: 4045318035

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.