Active NPI 1962183293 Individual Practitioner Male Practitioner

Paul Michael Emmons , PEER SUPPORT

Peer Specialist • Pendleton, OR

Professional Overview & Biography Verified Profile Summary

Paul Emmons, PEER SUPPORT is a registered healthcare professional specializing in Peer Specialist in Pendleton, OR. Practice services are available at 39 SE COURT AVE STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

39 Se Court Ave Ste 202

Pendleton, OR 978012228

Telephone 5418624357

Associated Practice Facility / Clinic

🏢 Bright Path, Inc. Facility NPI 1396592663

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Pendleton, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

83 Specialists

Practicing in Pendleton, 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: 2024-05-07

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1396592663 (OR)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location May 07, 2024

Registered at 39 SE COURT AVE STE 202, PENDLETON, OR 978012228 (Tel: 5418624357)

✅

NPI Profile Active July 28, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location July 28, 2023

Registered at 104 SW KINKAIDE AVENUE, BOARDMAN, OR 97818 (Tel: 5414812911)

📍

Updated Business Mailing Address July 28, 2023

Registered at PO BOX 469, HEPPNER, OR 978360469 (Tel: 5416769161)

👤

Provider Name / Credentials Updated July 28, 2023

Recorded as PAUL EMMONS, PEER SUPPORT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2023

Peer Specialist

🟢

Initial NPI Registration & Enumeration July 28, 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: 1962183293

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 28, 2023

Last Update: May 07, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 469

Heppner, OR 978360469

Phone: 5416769161

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.