Jacob Lee Baalman, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2016013813 Issued in MO

Practice address

94 Blue Nile LN
Blue Eye, MO 65611-7384

Phone

(316) 641-0561

Fax

(252) 744-4125

NPI assigned

Jun 4, 2013

Last updated

Feb 10, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, AR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians

Camden Emergency Group LLCGroup PAC ID 2961665369, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cox Medical Center Branson Hospital, Branson, MO, CCN 260094
• Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186
• North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017
• Cox Monett Hospital Hospital, Monett, MO, CCN 261329
• Mercy Hospital Aurora Hospital, Aurora, MO, CCN 261316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Camden Emergency Group LLC

  • Emergency Medicine Physician
  • Osage Beach, MO
  • NPI 1003181637
  Medicare reassignment Care Compare group NPD
• Skaggs Community Hospital Association

  dba Cox Medical Center Branson

  • Cardiovascular Disease Physician
  • Branson, MO
  • NPI 1346602646

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Cox-Monett Hospital, Inc.

  • Critical Access Hospital
  • Monett, MO
  • NPI 1194757500
  Medicare reassignment NPD
• Cox-Monett Hospital, Inc.

  dba Cox Monett Hospital

  • Emergency Medicine Physician
  • Monett, MO
  • NPI 1669687125
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1245277631
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  dba Mercy Clinic Family Medicine-Willow Springs

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657
  Medicare reassignment NPD
• Mercy Hospital Aurora

  • Critical Access Hospital
  • Aurora, MO
  • NPI 1467543090
  Medicare reassignment NPD
• Mercy Hospital Carthage

  • Critical Access Hospital
  • Carthage, MO
  • NPI 1003201955

  Emergency Medicine

  Medicare reassignment NPD
• Mercy Hospital Cassville

  • Critical Access Hospital
  • Cassville, MO
  • NPI 1285676932
  Medicare reassignment NPD
• Mercy Hospital Springfield

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1043242159
  Medicare reassignment NPD
• Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
  • NPI 1790740363

  Emergency Medicine

  Medicare reassignment NPD
• Mercy Hospital Berryville

  • Critical Access Hospital
  • Berryville, AR
  • NPI 1457306326
  Medicare reassignment NPD

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

• Cox-Monett Hospital, Inc.

  • Critical Access Hospital
  • Monett, MO
  • NPI 1194757500
  Care Compare affiliation
• Lake Regional Health System

  • Clinic/Center
  • Osage Beach, MO
  • NPI 1295151959

  Hospital

  Care Compare affiliation
• Lake Regional Health System

  • Rural Acute Care Hospital
  • Osage Beach, MO
  • NPI 1386619450
  Care Compare affiliation
• Mercy Hospital Aurora

  • Critical Access Hospital
  • Aurora, MO
  • NPI 1467543090
  Care Compare affiliation
• Skaggs Community Hospital Association

  dba Cox Medical Center Branson

  • General Acute Care Hospital
  • Branson, MO
  • NPI 1760443980
  Care Compare affiliation
• North Arkansas Regional Medical Center

  dba Emergency Medical Service Pro Fee

  • Land Ambulance
  • Harrison, AR
  • NPI 1013907682

  Hospital

  Care Compare affiliation
• North Arkansas Regional Medical Center

  • General Acute Care Hospital
  • Harrison, AR
  • NPI 1275523912
  Care Compare affiliation

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1831537570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BLUE NILE LN",
            "city": "BLUE EYE",
            "state": "MO",
            "postal_code": "656117384",
            "telephone_number": "316-641-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BLUE NILE LN",
            "city": "BLUE EYE",
            "state": "MO",
            "postal_code": "656117384",
            "telephone_number": "316-641-0561",
            "fax_number": "252-744-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAALMAN",
        "first_name": "JACOB",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2016013813",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-9898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester E Cox Medical Centers (Coxhealth School Based Telemedicine)
• Keith Alan Nelson, PHARMACIST

• Emergency Medicine Physician in Blue Eye, MO
• Providers in Blue Eye, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.