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Wool Ridge

Peer Specialist β€’ Eugene, OR

Active NPI 1093238685 Individual Practitioner Male Practitioner
Practice location in NPPES

499 W 4th Ave
Eugene, OR 974012505

Call 5416861262 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

499 W 4th Ave

Eugene, OR 974012505

Telephone 5416861262
Organization at the Same NPPES Address or Phone
Sheltercare Facility NPI 1376690107

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

NPI first issued

2017

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 Eugene and Oregon

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

0% of these 251 clinicians have the CMS telehealth indicator.

0% of these 251 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: 2021-03-19
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

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location March 19, 2021

Registered at 499 W 4TH AVE, EUGENE, OR 974012505 (Tel: 5416861262)

πŸ“
Updated Business Mailing Address March 19, 2021

Registered at 499 W 4TH AVE, EUGENE, OR 974012505 (Tel: 5416861262)

πŸ‘€
Provider Name / Credentials Updated March 19, 2021

Recorded as WOOL RIDGE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2021

Peer Specialist

βœ…
NPI Profile Active July 25, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 25, 2017

Registered at 847 NE 19TH AVE, PORTLAND, OR 972322684 (Tel: 5032380769)

πŸ“
Business Mailing Address (Initial Record) July 25, 2017

Registered at PO BOX 8459, PORTLAND, OR 972078459

πŸ‘€
Provider Name / Credentials (Initial Record) July 25, 2017

Recorded as NICHOLAS SABATASSO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2017

Community Health Worker

🟒
Initial NPI Registration & Enumeration July 25, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093238685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2017
Last Update: March 19, 2021
Sole Proprietor: No

Mailing Address

499 W 4th Ave

Eugene, OR 974012505

Phone: 5416861262

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.