Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760053086 Individual Practitioner Female Practitioner

Jacqueline Petrovic

Peer Specialist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Jacqueline Petrovic is a registered healthcare professional specializing in Peer Specialist in Bend, OR. Practice services are available at 1900 NE DIVISION ST STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 Ne Division St Ste 201

Bend, OR 977013572

Telephone 5415166330
Associated Practice Facility / Clinic
🏢 Youth Villages Facility NPI 1003350257

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: 2023-04-28
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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Jennifer Thomas

Counselor - Mental Health

NPI 1013719657
Roari Melville

Counselor - Mental Health

NPI 1043055262
Krizia Coleman

Counselor - Mental Health

NPI 1043103187
Will Rieder

Peer Specialist

NPI 1104572734
Austin Waller

Peer Specialist

NPI 1114716057
Carolynne Erickson

Peer Specialist

NPI 1124803515

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 28, 2023

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

📍
Updated Business Mailing Address April 28, 2023

Registered at 1900 NE DIVISION ST STE 201, BEND, OR 977013572

NPI Profile Active July 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2021

Registered at 1655 SW HIGHLAND AVE STE 3, REDMOND, OR 977562558 (Tel: 5419232654)

📍
Updated Business Mailing Address July 07, 2021

Registered at 4283 SW 34TH ST, REDMOND, OR 977566505 (Tel: 9494390359)

👤
Provider Name / Credentials Updated July 07, 2021

Recorded as JACQUELINE PETROVIC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2021

Counselor

🟢
Initial NPI Registration & Enumeration July 07, 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: 1760053086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2021
Last Update: April 28, 2023
Sole Proprietor: No

Mailing Address

1900 Ne Division St Ste 201

Bend, OR 977013572

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.