Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346829454 Individual Practitioner Male Practitioner

Kevin M Wentzel , CRM

Peer Specialist • Madras, OR

Professional Overview & Biography Verified Profile Summary

Kevin Wentzel, CRM is a registered healthcare professional specializing in Peer Specialist in Madras, OR. Practice services are available at 125 SW C ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 Sw C St

Madras, OR 977411458

Telephone 5417777847
Fax 5415127090
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Madras, OR

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

Practicing in Madras, 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: 2021-03-26
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 21-CRM-442

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Mhacbo
21-CRM-442 (OR)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Holly Armstrong Rivers

Peer Specialist

NPI 1093398489
Tammi Beard , CRM

Peer Specialist

NPI 1124646401
NPI 1134871395
Emily Pickett , CRM

Peer Specialist

NPI 1316658735
Breezy Pinkerton , CRM

Peer Specialist

NPI 1598473423
Kylie Johnson , CRM

Peer Specialist

NPI 1952989956

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 06, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2021

Registered at 125 SW C ST, MADRAS, OR 977411458 (Tel: 5417777847)

📍
Updated Business Mailing Address April 06, 2021

Registered at 389 SW SCALEHOUSE CT STE 130, BEND, OR 977023241 (Tel: 5417777847)

👤
Provider Name / Credentials Updated April 06, 2021

Recorded as KEVIN WENTZEL, CRM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2021

Peer Specialist (License #21-CRM-442 in OR)

🟢
Initial NPI Registration & Enumeration April 06, 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: 1346829454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2021
Last Update: April 06, 2021
Sole Proprietor: No

Mailing Address

389 Sw Scalehouse Ct Ste 130

Bend, OR 977023241

Phone: 5417777847

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.