Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174301709 Individual Practitioner Male Practitioner

James Kosta Otto

Peer Specialist • Bend, OR

Professional Overview & Biography Verified Profile Summary

James Otto is a registered healthcare professional specializing in Peer Specialist in Bend, OR. Practice services are available at 1340 NW WALL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1340 Nw Wall St

Bend, OR 977031985

Telephone 5413227500
Fax 5413227565
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1831464460

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Bend, OR

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

Practicing in Bend, 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

CMS Verified: 2024-11-15
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

40 Associated Practitioners
Anne Remsen , BA

Counselor - Mental Health

NPI 1003064973

Bachelor of Arts

Joanne White

Counselor - Mental Health

NPI 1003101395
Marissa Inman

Counselor - Mental Health

NPI 1003367459
Lindsey Hurtado

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003500836
Heather Welker , OT

Occupational Therapist

NPI 1003949140

Occupational Therapist

Tania Kneuer , OTL ASDCS

Occupational Therapist - Mental Health

NPI 1013064633

OTLASDCS

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 15, 2024

Registered at 1340 NW WALL ST, BEND, OR 977031985 (Tel: 5413227500)

📍
Updated Business Mailing Address November 15, 2024

Registered at 2577 NE COURTNEY DRIVE, BEND, OR 977017638 (Tel: 5413227500)

NPI Profile Active September 15, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2023

Registered at 1900 NE DIVISION ST STE 201, BEND, OR 977013572 (Tel: 5415166330)

📍
Updated Business Mailing Address September 15, 2023

Registered at 1900 NE DIVISION ST STE 201, BEND, OR 977013572 (Tel: 5415166330)

👤
Provider Name / Credentials Updated September 15, 2023

Recorded as JAMES OTTO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration September 15, 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: 1174301709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2023
Last Update: November 15, 2024
Sole Proprietor: No

Mailing Address

2577 Ne Courtney Drive

Bend, OR 977017638

Phone: 5413227500

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.