Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174012041 Individual Practitioner Male Practitioner

Jessie G Wise , CRM

Peer Specialist • La Grande, OR

Professional Overview & Biography Verified Profile Summary

Jessie Wise, CRM is a registered healthcare professional specializing in Peer Specialist in La Grande, OR. Practice services are available at 1501 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1501 6th St

La Grande, OR 978502419

Telephone 5419620162
Fax 5419620162
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in La Grande, OR

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

Practicing in La Grande, 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 18-CRM-092

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

13 Associated Practitioners
Amie Martin

Peer Specialist

NPI 1023625159
Seth Jokinen , CRM

Peer Specialist

NPI 1124681754
Betty Jensen , CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1225559354

CADCII

Douglas Whipple , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1275993313

CADCI

Stephanie Miller , MSW

Social Worker - Clinical

NPI 1316503113

Master of Social Work

NPI 1396367280

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2018

Registered at 1501 6TH ST, LA GRANDE, OR 978502419 (Tel: 5419620162)

📍
Updated Business Mailing Address May 07, 2018

Registered at 1101 I AVE, LA GRANDE, OR 978502043 (Tel: 5419620162)

👤
Provider Name / Credentials Updated May 07, 2018

Recorded as JESSIE WISE, CRM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2018

Peer Specialist (License #18-CRM-092 in OR)

🟢
Initial NPI Registration & Enumeration May 07, 2018

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: 1174012041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2018
Last Update: May 07, 2018
Sole Proprietor: No

Mailing Address

1101 I Ave

La Grande, OR 978502043

Phone: 5419620162

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.