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Angela Marie Dorman

Case Manager/Care Coordinator β€’ Baker City, OR

Active NPI 1679229991 Individual Practitioner Female Practitioner
Practice location in NPPES

3425 13th St
Baker City, OR 978141340

Call 5415237400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3425 13th St

Baker City, OR 978141340

Telephone 5415237400
Fax 5415234927
Organization at the Same NPPES Address or Phone
New Directions Northwest, Inc Facility NPI 1235124462

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Baker City and Oregon

36 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Baker City, OR (4,193 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baker City

0% of these 36 clinicians have the CMS telehealth indicator.

0% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-08
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES OR 24-QMHA-I-004240

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.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OR THW000106401

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500803898 (OR)
Medicaid ID
500804950 (OR)
Other Identifier Drivers License
ZH457070F (ID)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Taylor Clark , LCSW

Social Worker - Clinical

NPI 1740729599

Licensed Clinical Social Worker

Colleen Davenport , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003223694

Psychiatric-Mental Health Nurse Practitioner

Mari Dominguez , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1265197040

Nurse Practitioner (Certified)

Reta Warner , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1841540705

Psychiatric-Mental Health Nurse Practitioner

Kelli Wright , MS

Social Worker - Clinical

NPI 1407090822

Master of Science

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Peer Specialist (license number reported to NPPES: OR THW000106401)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2022

Case Manager/Care Coordinator (license number reported to NPPES: OR 22-QMHA-R-2223)

βœ…
NPI Profile Active February 24, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 24, 2022

Registered at 3425 13TH ST, BAKER CITY, OR 978141340 (Tel: 5415237400)

πŸ“
Business Mailing Address (Initial Record) February 24, 2022

Registered at 3425 13TH ST, BAKER CITY, OR 978141340 (Tel: 5415237400)

πŸ‘€
Provider Name / Credentials (Initial Record) February 24, 2022

Recorded as ANGELA DORMAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2022

Case Manager/Care Coordinator (license number reported to NPPES: OR PENDING)

🟒
Initial NPI Registration & Enumeration February 24, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679229991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2022
Last Update: April 08, 2024
Sole Proprietor: Yes

Mailing Address

3425 13th St

Baker City, OR 978141340

Phone: 5415237400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.