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Jessie Wise, CRM
NPI 1174012041 · Peer Specialist · La Grande, OR
Jessie Wise, CRM is a Peer Specialist provider in La Grande, OR (NPI 1174012041).
Provider details
- NPI number
- 1174012041
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- CRM
- Sex
- Male
- Sole proprietor
- No
- License
- 18-CRM-092 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1501 6th St
La Grande, OR 97850-2419
Phone: (541) 962-0162
Fax: (541) 962-0162
Street-level locationGet directions
Mailing address
1101 I Ave
La Grande, OR 97850-2043
Registry dates
- Enumerated
- 2018-05-07
- Last updated
- 2018-05-07
Frequently asked questions
- What is Jessie Wise's NPI number?
- Jessie Wise's National Provider Identifier (NPI) is 1174012041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessie Wise's specialty?
- Jessie Wise is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jessie Wise located?
- Jessie Wise's practice location on file with NPPES is 1501 6th St, La Grande, OR 97850-2419.
- What is Jessie Wise's phone number?
- The practice phone number listed in the NPPES registry for Jessie Wise is (541) 962-0162.
- Is Jessie Wise's NPI active?
- Yes — Jessie Wise's NPI (1174012041) is active in the NPPES registry as of the last update on 2018-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.