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Kaiwi Ruth Valentine Murdock , CPSS

Peer Specialist β€’ North Bend, OR

Active NPI 1134657638 Individual Practitioner Female Practitioner
Practice location in NPPES

1913 Meade St
North Bend, OR 974593432

Call 5414795901 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

1913 Meade St

North Bend, OR 974593432

Telephone 5414795901
Organization at the Same NPPES Address or Phone
Southern Oregon Adolescent Study & Treatment Center Facility NPI 1518244888

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 North Bend and Oregon

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in North Bend

0% of these 43 clinicians have the CMS telehealth indicator.

0% of these 43 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

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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Blue Cross Blue Shield
R58765252

Career & Practice History Timeline

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

11 Historical Events
βœ…
NPI Profile Active June 26, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location June 26, 2017

Registered at 1913 MEADE ST, NORTH BEND, OR 974593432 (Tel: 5414795901)

πŸ“
Updated Business Mailing Address June 26, 2017

Registered at 715 SW RAMSEY, AVENUE, GRANTS PASS, OR 97527 (Tel: 5414795901)

πŸ‘€
Provider Name / Credentials Updated June 26, 2017

Recorded as KAIWI MURDOCK, CPSS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2017

Peer Specialist

βœ…
NPI Profile Active May 27, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 27, 2017

Registered at 715 SW RAMSEY, AVENUE, GRANTS PASS, OR 97527 (Tel: 5414795901)

πŸ“
Business Mailing Address (Initial Record) May 27, 2017

Registered at PO BOX 13, NORTH BEND, OR 97459 (Tel: 2097699923)

πŸ‘€
Provider Name / Credentials (Initial Record) May 27, 2017

Recorded as KAIWI MURDOCK, CPSS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2017

Peer Specialist (license number reported to NPPES: OR A433830)

🟒
Initial NPI Registration & Enumeration May 27, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134657638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2017
Last Update: June 26, 2017
Sole Proprietor: Yes

Mailing Address

715 Sw Ramsey, Avenue

Grants Pass, OR 97527

Phone: 5414795901

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.