Jennifer Marie Van de Baan, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10210614 Issued in MT

Practice address

865 Cochise Rd
Hamilton, MT 59840-9163

Phone

(406) 369-3971

NPI assigned

Oct 20, 2021

Last updated

Oct 20, 2021By the provider in NPPES

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

Other names 1

• Jennifer Marie Van de Baan Professional name

Medicare fee-for-service enrollment

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23552/brand/1/csg/1/fhir/r4

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.

• Hestia in-Home Support LLC

  dba Hestia Home Advantage

  • Family Nurse Practitioner
  • Missoula, MT
  • NPI 1619325016
  Medicare reassignment NPD
• Marcus Daly Memorial Hospital Corporation

  dba Bitterroot Health - Daly Hospital

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846
  Medicare reassignment NPD
• Tigris Nephrology PLLC

  dba Missoula Nephrology

  • Nephrology Physician
  • Missoula, MT
  • NPI 1154912822
  Medicare reassignment NPD
• Marcus Daly Memorial Hospital Corporation

  dba Bitterroot Health - Nephrology

  • Nephrology Physician
  • Hamilton, MT
  • NPI 1235997958
  NPD

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1205599859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 COCHISE RD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598409163",
            "telephone_number": "406-369-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 COCHISE RD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598409163",
            "telephone_number": "406-369-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE BAAN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "F10210614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VAN DE BAAN",
            "middle_name": "MARIE",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kendra E Tucker, LCSW
• Turtle Gap, Inc.
• Two Sisters Home Care of Montana -LLC
• Samantha Elise Tyler, DPT
• Samuel P Urso, D.O.
• Robert A F Vanmarle, MSW LCSW
• Vicky B. Varichak, LAC
• Mary Vermillion, RN
• Stephanie Voisine, LCSW
• Joshua Robert Waggener, MD

• Family Nurse Practitioner in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.