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Deactivated NPI 1366961880 Deactivated / Inactive NPI Male Practitioner

Denver Wolfe

Peer Specialist • Shedd, 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, Denver Wolfe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2017
NPI Deactivation Date December 05, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Denver Wolfe was a registered Peer Specialist practicing in Shedd, OR. Throughout an active medical career spanning 5 years, Denver Wolfe provided care at the practice location at 31700 FAYETTEVILLE DR until profile deactivation on 2022-12-05.

Practice Location & Contact Primary Location

Practice Address

31700 Fayetteville Dr

Shedd, OR 973779779

Telephone 5032089004

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Shedd, OR

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

Practicing in Shedd, 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

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

12 Associated Practitioners
Jason Sommerfeldt

Counselor - Addiction (Substance Use Disorder)

NPI 1013765015
Violet Gott

Peer Specialist

NPI 1043196561
Kyra Rund

Peer Specialist

NPI 1184481087
David Fleming , CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1245761881

CADCII

Derek Ader , CADC-R

Counselor - Addiction (Substance Use Disorder)

NPI 1437831526

CADCR

Kayla Dugger

Counselor - Addiction (Substance Use Disorder)

NPI 1720938509

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 05, 2022

Record deactivated on December 05, 2022

NPI Profile Active September 15, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 15, 2017

Registered at 31700 FAYETTEVILLE DR, SHEDD, OR 973779779 (Tel: 5032089004)

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Updated Business Mailing Address September 15, 2017

Registered at 31700 FAYETTEVILLE DR, SHEDD, OR 973779779

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Provider Name / Credentials Updated September 15, 2017

Recorded as DENVER WOLFE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2017

Peer Specialist

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Initial NPI Registration & Enumeration September 15, 2017

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: 1366961880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2017
Last Update: September 15, 2017
Deactivation Date: December 05, 2022

Mailing Address

31700 Fayetteville Dr

Shedd, OR 973779779

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.