Jeremiah E Bast, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137843 Issued in TX

Practice address

605 E San Antonio St Ste 509E
Victoria, TX 77901-6079

Phone

(361) 573-6351

Fax

(361) 575-6455

NPI assigned

Jun 27, 2018

Last updated

Aug 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Regional Employee Assistance Program IncGroup PAC ID 1557260064, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
• Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597
• Citizens Medical Center Hospital, Victoria, TX, CCN 450023
• Jackson Healthcare Center Hospital, Edna, TX, CCN 451363
• Memorial Medical Center Hospital, Port Lavaca, TX, CCN 451356

Merit-based Incentive Payment System (MIPS)

Final score

88.18 of 100Reported as apm

Quality

71.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremiah.bast.1@1902.direct.athenahealth.com
• Direct secure messaging: jeremiah.bast.2@1902.direct.athenahealth.com

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.

• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  Medicare reassignment Care Compare group NPD
• Lone Star Emergency Associates LLC

  • Emergency Medicine Physician
  • Victoria, TX
  • NPI 1457709040
  Medicare reassignment NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD
• Regional Employee Assistance Program Inc

  • Internal Medicine Physician
  • Victoria, TX
  • NPI 1215999511
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  Care Compare affiliation
• Dewitt Medical District

  dba Cuero Regional Hospital

  • Rural Acute Care Hospital
  • Cuero, TX
  • NPI 1437148020
  Care Compare affiliation
• Jackson County Hospital District

  dba Jackson HealthCare Center

  • Critical Access Hospital
  • Edna, TX
  • NPI 1124061882
  Care Compare affiliation
• Memorial Medical Center

  • Critical Access Hospital
  • Port Lavaca, TX
  • NPI 1689630865
  Care Compare affiliation
• Victoria of Texas LP

  dba Detar Healthcare System

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1851343909
  Care Compare affiliation

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1790270106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BROOKWOOD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013818",
            "telephone_number": "361-218-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 509E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016079",
            "telephone_number": "361-573-6351",
            "fax_number": "361-575-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9006 N Navarro St Ste B",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779041566",
            "country_code": "US",
            "telephone_number": "361-485-0021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 E Rio Grande St",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779016033",
            "country_code": "US",
            "telephone_number": "361-582-0803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAST",
        "first_name": "JEREMIAH",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremiah.bast.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "605 E San Antonio St Ste 509E",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779016079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Barnes
• Yvette Barrera
• Pamella Michelle Barrett, NP-C
• Bonnie Jean Barton, ST
• Stephanie Ann Bassano, LCDC, CCJP, DOT/SAP
• Bates & Harris O D Inc (Texas State Optical of Victoria)
• Allyson Kay Bauch-Friedrich, D.D.S
• Bruce Bauknight, MD
• Marsha Lynn Baumann, LPC
• BDCV / VPSC Associates, LLC

• Family Nurse Practitioner in Victoria, TX
• Providers in Victoria, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.