Individual provider Active NPI

Jesson Baumgartner

  • Physical Medicine & Rehabilitation Physician
  • Reno, NV
National Provider Identifier
1053739359
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
59655 Issued in MN
Practice address
343 Elm St Ste 202
Reno, NV 89503-4538
Phone
(775) 870-1480
Fax
(877) 764-6351
NPI assigned
Apr 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 59655 MN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

343 Elm St Ste 202
Reno, NV 89503-4538

Mailing address

343 Elm St Ste 202
Reno, NV 89503-4538
Phone (775) 870-1480

Other practice location 1

10451 Double R Blvd
Reno, NV 89521-8905
Phone (775) 870-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180518002043 NV Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1355568965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Zollinger D O PCGroup PAC ID 5597980326, 11 clinicians

Practice addresses (Care Compare)

4838 Sparks Blvd
Suite 102
Sparks, NV 89436-8156
Phone (775) 870-1480

Merit-based Incentive Payment System (MIPS)

Final score
70.48 of 100Reported as individual
Quality
40.96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Zollinger D O PC CurrentSince Jul 1, 2018 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

412 W John St
Ste B
Carson City, NV 89703
Phone (775) 445-7476

343 Elm St
Ste 202
Reno, NV 89503
Phone (775) 323-6100

10451 Double R Blvd
Reno, NV 89521
Phone (775) 870-1480

645 N Arlington Ave
Ste 670
Reno, NV 89503
Phone (775) 324-3800

4838 Sparks Blvd
Ste 102
Sparks, NV 89436
Phone (775) 870-1480

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1053739359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 ELM ST STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034538",
            "telephone_number": "775-870-1480",
            "fax_number": "877-764-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 ELM ST STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034538",
            "telephone_number": "775-870-1480",
            "fax_number": "877-764-6351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10451 Double R Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895218905",
            "country_code": "US",
            "telephone_number": "775-870-1480",
            "fax_number": "877-764-6351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "JESSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "59655",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.