Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1558035600 Deactivated / Inactive NPI Female Practitioner

Rosalie Ann Evans , THW000104574

Peer Specialist • Albany, OR

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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, Rosalie Evans has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 03, 2021
NPI Deactivation Date October 30, 2025
Total Practice Duration ~4 Years of Practice (2021 – 2025)

Professional Overview & Biography Verified Profile Summary

Rosalie Evans, THW000104574 was a registered Peer Specialist practicing in Albany, OR. Throughout an active medical career spanning 4 years, Rosalie Evans provided care at the practice location at 231 LYON ST SE until profile deactivation on 2025-10-30.

Practice Location & Contact Primary Location

Practice Address

231 Lyon St Se

Albany, OR 973212707

Telephone 5417913411
Associated Practice Facility / Clinic
🏢 Ideal Option, Pllc Facility NPI 1255104527

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Albany, OR

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

Practicing in Albany, OR (3408 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

State License OR 104574

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

32 Associated Practitioners
Nicholias Mcguire

Peer Specialist

NPI 1023670650
Andrea Dyer

Peer Specialist

NPI 1063057495
Matthew Ferguson

Peer Specialist

NPI 1114566742
Mari Schuman

Peer Specialist

NPI 1114566759
Jon Phelps

Peer Specialist

NPI 1134768633
NPI 1144015983

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 October 30, 2025

Record deactivated on October 30, 2025

NPI Profile Active August 03, 2021

NPI status registered as active in NPPES database

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Updated Practice Location August 03, 2021

Registered at 231 LYON ST SE, ALBANY, OR 973212707 (Tel: 5417913411)

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Updated Business Mailing Address August 03, 2021

Registered at 231 LYON ST SE, ALBANY, OR 973212707 (Tel: 5417913411)

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Provider Name / Credentials Updated August 03, 2021

Recorded as ROSALIE EVANS, THW000104574

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2021

Peer Specialist (License #104574 in OR)

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Initial NPI Registration & Enumeration August 03, 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: 1558035600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2021
Last Update: August 03, 2021
Deactivation Date: October 30, 2025

Mailing Address

231 Lyon St Se

Albany, OR 973212707

Phone: 5417913411

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.