Individual provider Active NPI

Naomi Noelle Bach

  • Nurse Practitioner
  • Worthington, MN
National Provider Identifier
1003229204
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R2204752 Issued in MN
Practice address
1018 6TH Ave
Worthington, MN 56187-2202
Phone
(507) 372-3271
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Enterostomal Therapy Registered Nurse 163WE0900X 108831 IA
Family Nurse Practitioner 363LF0000X A108831 IA
Nurse Practitioner 363L00000X R2204752 MN Primary

Addresses

Primary practice location

1018 6TH Ave
Worthington, MN 56187-2202

Mailing address

1018 6TH Ave
PO Box 997
Worthington, MN 56187-2202
Phone (507) 372-3271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150120000522 MN Practitioner - Nurse Practitioner 2466776513 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windom Area HospitalGroup PAC ID 7113911272, 21 clinicians

Practice addresses (Care Compare)

2150 Hospital Dr
Windom, MN 56101-1287
Phone (507) 831-2400

Hospital & facility affiliations

  • Windom Area Health Hospital, Windom, MN, CCN 241332

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
87.49
Promoting interoperability
100
Improvement activities
40
Cost
44.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
108831IAMDEnterostomal Therapy Registered Nurse
R2204752MNMDNurse Practitioner
A108831IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Windom Area Hospital CurrentSince Oct 8, 2018 Accepting new patients
Sanford Health Network CurrentSince Aug 15, 2014 Accepting new patients
Sanford Health Network Nurse Practitioner Current Accepting new patients
Sanford Health Network Current Accepting new patients
Windom Area Hospital CurrentSince Oct 8, 2018 Accepting new patients
Sanford Health Network CurrentSince Aug 15, 2014 Accepting new patients
City of Windom Ambulance Current Accepting new patients

Locations

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

Interoperability endpoints

  • Direct secure messaging: naomi.bach.1@15839.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1003229204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 6TH AVE",
            "address_2": "PO BOX 997",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872202",
            "telephone_number": "507-372-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 6TH AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872202",
            "telephone_number": "507-372-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "NAOMI",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "IA",
            "license": "108831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A108831",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R2204752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, MN

Sources for this page

Verify at the official NPI Registry.