Individual provider Active NPI

Jessica Lynn Bain, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1760978167
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP137955 Issued in TX
Practice address
500 Medical Center Blvd
Conroe, TX 77304-2889
Phone
(936) 539-1111
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 71013551A IN
Acute Care Nurse Practitioner 363LA2100X AP137955 TX Primary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0042965 OH

Addresses

Primary practice location

500 Medical Center Blvd
Conroe, TX 77304-2889

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-0585

Other names 1

  • Jessica Glass Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbain@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, NJ, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180830000828 TX Practitioner - Nurse Practitioner 8820348550 Reassigns benefits to 2 organizations
I20230208002310 IN Practitioner - Nurse Practitioner 8820348550 Reassigns benefits to 2 organizations
I20240318002239 NJ Practitioner - Nurse Practitioner 8820348550 Reassigns benefits to 2 organizations
I20240415003117 NY Practitioner - Nurse Practitioner 8820348550

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 360-1000

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 741-2700

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7000

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137955TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of New Jersey PA CurrentSince Feb 4, 2024 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated CurrentSince Mar 18, 2024 Accepting new patients
University Surgeons, Inc. CurrentSince Mar 27, 2023 Accepting new patients
NJ Acute Care Specialists Professional Corporation CurrentSince Feb 4, 2024 Accepting new patients
Hospitalist Physicians of Indiana, PC CurrentSince Jan 13, 2024 Accepting new patients
Urgent Specialty Associates of Texas, PLLC CurrentSince Jul 23, 2022 Accepting new patients
Memorial Hermann Medical Group CurrentSince Apr 1, 2024 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

7630 Solutions Ctr
Chicago, IL 60677

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

65 James St
Edison, NJ 08820
Phone (732) 321-7010

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

800 Peakwood Dr
Ste 4E
Houston, TX 77090
Phone (281) 440-8430

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • Direct secure messaging: jessica.bain@hca9.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1760978167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042889",
            "telephone_number": "936-539-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-962-0585",
            "fax_number": "317-962-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71013551A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP137955",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0042965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbain@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GLASS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.