Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1184988198 Deactivated / Inactive NPI Male Practitioner

Andre Deleos

Case Manager/Care Coordinator • Roseburg, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andre Deleos has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 25, 2012
NPI Deactivation Date December 09, 2019
Total Practice Duration ~7 Years of Practice (2012 – 2019)

Professional Overview & Biography Verified Profile Summary

Andre Deleos was a registered Case Manager/Care Coordinator practicing in Roseburg, OR. Throughout an active medical career spanning 7 years, Andre Deleos provided care at the practice location at 621 W MADRONE ST until profile deactivation on 2019-12-09.

Practice Location & Contact Primary Location

Practice Address

621 W Madrone St

Roseburg, OR 974703090

Telephone 5414403532
Fax 5414403554
Associated Practice Facility / Clinic
🏢 Adapt Facility NPI 1720010549

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Roseburg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
118 Specialists

Practicing in Roseburg, OR (4272 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
William Shobe , LMFT

Marriage & Family Therapist

NPI 1003179417

Licensed Marriage and Family Therapist

NPI 1003242173

Master of Social Work

William Dukes , BA

Case Manager/Care Coordinator

NPI 1003298332

Bachelor of Arts

Cyndra Krogen Morton

Counselor - Mental Health

NPI 1003754193
Dale Williams , MC, LPC

Counselor - Mental Health

NPI 1013090588

MC, Licensed Professional Counselor

NPI 1013357565

MAED, Bachelor of Science

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 09, 2019

Record deactivated on December 09, 2019

NPI Profile Active June 25, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 25, 2012

Registered at 621 W MADRONE ST, ROSEBURG, OR 974703090 (Tel: 5414403532)

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Updated Business Mailing Address June 25, 2012

Registered at 621 W MADRONE ST, ROSEBURG, OR 974703090 (Tel: 5414403532)

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Provider Name / Credentials Updated June 25, 2012

Recorded as ANDRE DELEOS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2012

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration June 25, 2012

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: 1184988198
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2012
Last Update: June 25, 2012
Deactivation Date: December 09, 2019

Mailing Address

621 W Madrone St

Roseburg, OR 974703090

Phone: 5414403532

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.