IndividualActive
Kristina Derksen, PEER SUPPORT
NPI 1376932897 · Peer Specialist · Bend, OR
Provider details
- NPI number
- 1376932897
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PEER SUPPORT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2577 Ne Courtney Dr
Bend, OR 97701-7752
Phone: (541) 322-7500
Fax: (541) 322-7565
Street-level locationGet directions
Mailing address
2577 Ne Courtney Dr
Bend, OR 97701-7752
Additional practice locations (1)
- 4422 Ne Devils Lake Blvd Ste 2Lincoln City, OR 97367-5000Phone: (541) 265-4196Fax: (541) 994-1882
Registry dates
- Enumerated
- 2015-01-21
- Last updated
- 2020-12-11
- Certified
- 2020-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.