Individual provider Active NPI

Jessica Lyn Bader, APRN

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1992373088
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1046304 Issued in TX
Practice address
7121 S Padre Island Dr Ste 200
Corpus Christi, TX 78412-4940
Phone
(361) 993-6000
NPI assigned
Jun 15, 2021
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 892052 TX
Family Nurse Practitioner 363LF0000X 1046304 TX Primary

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210727002005 TX Practitioner - Nurse Practitioner 2668875733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Bend Womens Center PLLCGroup PAC ID 7911991914, 11 clinicians

Practice addresses (Care Compare)

7121 S Padre Island Dr
Suite 200
Corpus Christi, TX 78412-4940
Phone (361) 993-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
892052TXMDAmbulatory Women's Health Care Registered Nurse
1046304TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Womens Center PLLC CurrentSince Jul 15, 2021 Accepting new patients

Locations

7121 Spid Dr
Ste 200
Corpus Christi, TX 78412
Phone (361) 993-6000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1992373088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 SPID DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124938",
            "telephone_number": "361-993-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124940",
            "telephone_number": "361-993-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "TX",
            "license": "892052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1046304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.