Individual provider Active NPI

Jeffrey Austin Bell, PA-C

  • Physician Assistant
  • Evanston, IL
National Provider Identifier
1154671790
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.004337 Issued in IL
Practice address
2650 Ridge Ave
Evanston, IL 60201-1718
Phone
(847) 570-1353
NPI assigned
Sep 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003478A IN
Physician Assistant 363A00000X 085.004337 IL Primary

Addresses

Primary practice location

2650 Ridge Ave
Evanston, IL 60201-1718

Mailing address

1305 W Melrose St Unit 1
Chicago, IL 60657-3219
Phone (317) 246-9077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220215000676 IN Practitioner - Physician Assistant 9436383544 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.004337ILMDPhysician Assistant
10003478AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Feb 1, 2022 Accepting new patients
American Current Care P.a. CurrentSince Dec 1, 2021 Accepting new patients
Cep America LLC CurrentSince May 1, 2022 Accepting new patients
American Current Care PA CurrentSince Dec 1, 2021 Accepting new patients
Cep America LLC CurrentSince May 1, 2022 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Organizations & group practices 6

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1154671790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W MELROSE ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573219",
            "telephone_number": "317-246-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "JEFFREY",
        "middle_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-11",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003478A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.