Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609737170 Individual Practitioner Male Practitioner

Shane Dean Stottlemire

Peer Specialist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Shane Stottlemire is a registered healthcare professional specializing in Peer Specialist in Bend, OR. Practice services are available at 63311 JAMISON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

63311 Jamison St

Bend, OR 977038288

Telephone 5415857210
Fax 5415857209

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: 2025-11-23
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

4 Associated Practitioners
Melissa Nelson , MSW, CSWA

Social Worker - Clinical

NPI 1245818673

Master of Social Work, CSWA

Dominique Gray

Peer Specialist

NPI 1336963073
Martina Krupinski , LPC-I

Counselor - Professional

NPI 1538722558

LPCI

Taylor Mcgowan , LCSW

Social Worker - Clinical

NPI 1710374657

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2025

Registered at 63311 JAMISON ST, BEND, OR 977038288 (Tel: 5415857210)

📍
Updated Business Mailing Address November 24, 2025

Registered at 422 NE ALPENVIEW LN, BEND, OR 977015096

👤
Provider Name / Credentials Updated November 24, 2025

Recorded as SHANE STOTTLEMIRE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration November 24, 2025

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: 1609737170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2025
Last Update: November 24, 2025
Sole Proprietor: No

Mailing Address

422 Ne Alpenview Ln

Bend, OR 977015096

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.