Individual provider Active NPI

Jesse Bach, NP

  • Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1144849985
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7506 Issued in MN
Practice address
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone
(612) 273-8383
NPI assigned
Apr 12, 2020
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7506 MN Primary

Addresses

Primary practice location

500 Harvard St SE
Minneapolis, MN 55455-0363

Mailing address

5732 Morgan Ave S
Minneapolis, MN 55419-1547
Phone (651) 226-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240103001338 TX Practitioner - Nurse Practitioner 3476979378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Gastroenterology PLLCGroup PAC ID 9739174954, 75 clinicians

Practice addresses (Care Compare)

7951 Shoal Creek Blvd
Suite 200
Austin, TX 78757-7581
Phone (512) 454-4588

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
57.89
Promoting interoperability
96
Improvement activities
40
Cost
78.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Gastroenterology, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Austin Gastroenterology PA CurrentSince Jan 1, 2024 Accepting new patients

Locations

7951 Shoal Creek Blvd
Ste 200
Austin, TX 78757
Phone (512) 454-4588

7200 Wyoming Springs Dr
Ste 1300
Round Rock, TX 78681

5656 Bee Caves Rd
Ste J202
West Lake Hills, TX 78746
Phone (512) 448-4558

Interoperability endpoints

  • FHIR API: https://f1c3b871-8724-4a21-b291-f8f62dcb574b.gastro.prod.fhir.ema-api.com/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1144849985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5732 MORGAN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191547",
            "telephone_number": "651-226-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HARVARD ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550363",
            "telephone_number": "612-273-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "JESSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "7506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.