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Michael Kelley Kusek

Peer Specialist • Bend, OR

Active NPI 1023889482 Individual Practitioner Male Practitioner
Practice location in NPPES

2577 Ne Courtney Dr
Bend, OR 977017752

Call 5412137436 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

2577 Ne Courtney Dr

Bend, OR 977017752

Telephone 5412137436
Organization at the Same NPPES Address or Phone
Deschutes County Oregon Facility NPI 1023056017

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

NPI first issued

2024

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, “Does 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 Bend and Oregon

164 active clinicians are listed under Peer Specialist with a practice address in Bend, OR (3,355 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bend

0% of these 164 clinicians have the CMS telehealth indicator.

0% of these 164 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-12
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.

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

Clinicians Sharing This Practice Address or Phone

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

17 listed
Emma Anderson , LCSW

Social Worker - Clinical

NPI 1023459591

Licensed Clinical Social Worker

Dr. Wil Berry , MD

Psychiatry & Neurology - Psychiatry

NPI 1174840615

Doctor of Medicine (M.D.)

Melissa Bock , APN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1316217953

Advanced Practice Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Harry Borcherding , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1811027642

Psychiatric-Mental Health Nurse Practitioner

Mary Kate Coppedge , RN, PMHNP-BC, MSN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1194057661

Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified), Master of Science in Nursing

Martin Gillette , LCSW

Social Worker - Clinical

NPI 1760658496

Licensed Clinical Social Worker

Career & Practice History

NPI enumerated January 12, 2024.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from February 2024 to August 2026.

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NPI Administrative Meta

NPI Number: 1023889482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2024
Last Update: January 12, 2024
Sole Proprietor: No

Mailing Address

2577 Ne Courtney Dr

Bend, OR 977017752

Phone: 5412137436

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.