Jessica Anne Baele, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA213374 Issued in OR

Practice address

1700 NW 167TH PL Ste 245
Beaverton, OR 97006-8110

Phone

(800) 834-6362

NPI assigned

May 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Vein Restoration Or LLC 13 clinicians

Inovia LLC 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

Merit-based Incentive Payment System (MIPS)

Final score

85.76 of 100Reported as group

Quality

88.93

Promoting interoperability

93

Improvement activities

40

Cost

69.42

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Center for Vein Restoration Or LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bend, OR
  • NPI 1154270445

  OR, WA

  Medicare reassignment Care Compare group
• Inovia LLC

  • Vascular Surgery Physician
  • Bend, OR
  • NPI 1376753442

  OR

  Medicare reassignment Care Compare group

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

• Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1114015971

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1124641006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16489 FREDERICK ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451190",
            "telephone_number": "503-756-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW 167TH PL STE 245",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068110",
            "telephone_number": "800-834-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAELE",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA213374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Baccellieri
• Back in Motion Sports Injuries Clinic, LLC
• Serita Backstrand, PSY.D
• Amelia Backus
• Robyn Aleen Baehler, LMT
• Juliet Baele X, MD
• Sheyla Fernanda Baez
• Yakov Baghdanov
• Dalton Bagley, LMT
• Jennifer Bagley

• All providers in Beaverton, OR
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.