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Paul Michael Emmons , PEER SUPPORT

Peer Specialist β€’ Pendleton, OR

Active NPI 1962183293 Individual Practitioner Male Practitioner
Practice location in NPPES

39 Se Court Ave Ste 202
Pendleton, OR 978012228

Call 5418624357 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

39 Se Court Ave Ste 202

Pendleton, OR 978012228

Telephone 5418624357
Organization at the Same NPPES Address or Phone
Bright Path, Inc. Facility NPI 1396592663

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

NPI first issued

2023

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 Pendleton and Oregon

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pendleton

0% of these 81 clinicians have the CMS telehealth indicator.

0% of these 81 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: 2024-05-07
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

Medicaid ID
1396592663 (OR)

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location May 07, 2024

Registered at 39 SE COURT AVE STE 202, PENDLETON, OR 978012228 (Tel: 5418624357)

βœ…
NPI Profile Active July 28, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 28, 2023

Registered at 104 SW KINKAIDE AVENUE, BOARDMAN, OR 97818 (Tel: 5414812911)

πŸ“
Business Mailing Address (Initial Record) July 28, 2023

Registered at PO BOX 469, HEPPNER, OR 978360469 (Tel: 5416769161)

πŸ‘€
Provider Name / Credentials (Initial Record) July 28, 2023

Recorded as PAUL EMMONS, PEER SUPPORT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2023

Peer Specialist

🟒
Initial NPI Registration & Enumeration July 28, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962183293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2023
Last Update: May 07, 2024
Sole Proprietor: No

Mailing Address

Po Box 469

Heppner, OR 978360469

Phone: 5416769161

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.