Jessica Lyn Bader, APRN
Individual provider Active NPI Family Nurse Practitioner · Corpus Christi, TX
NPI 1992373088 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1992373088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1046304 (TX)
- Practice address
- 7121 S Padre Island Dr Ste 200
Corpus Christi, TX 78412-4940 - Phone
- (361) 993-6000
- NPI assigned
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Bend Womens Center PLLC
Practice addresses (Care Compare)
7121 S Padre Island Dr
Suite 200
Corpus Christi, TX 78412-4940
Phone (361) 993-6000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210727002005 | TX | Practitioner - Nurse Practitioner | 2668875733 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 892052 | TX | MD | Ambulatory Women's Health Care Registered Nurse |
| 1046304 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Bend Womens Center PLLC | Current |
Accepting new patients |
Locations
7121 Spid Dr
Ste 200
Corpus Christi, TX 78412
Phone (361) 993-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 892052 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1046304 | TX | Yes |
Addresses
Primary practice location
7121 S Padre Island Dr Ste 200
Corpus Christi, TX 78412-4940
Mailing address
7121 Spid Dr
Corpus Christi, TX 78412-4938
Phone (361) 993-6000
Other providers in Corpus Christi, TX
- B-a LLC
- Baby Monitors Inc
- Souhad Bachnak
- Daniela Badea-Mic
- Beatriz Torres Badelles
- Anna Hayes Baer
- Eric Wayne Baggerman
- Mikkel Bahamondes
- Faraz Ahmad Baig
- Charla Gene Bailey
All providers in Corpus Christi, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.