JESSE BASTIAENS (M.D.) – Psychiatry Physician, NPI 1194143933
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,134 PSYCHIATRY in CA
Provider Addresses for JESSE BASTIAENS (M.D.)
350 PARNASSUS AVE STE 201
SAN FRANCISCO, CA 941173608
Phone: (415) 476-7577
Type: Mailing
4 GLENDALE AVE
ARMONK, NY 105041915
Phone: (412) 334-1742
Type: Mailing
115 E STEVENS AVE STE 108
VALHALLA, NY 105951202
Phone: (845) 471-1807
Fax: (845) 471-1815
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $242.
Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.
Last reported payment date: 2023-08-31 • Largest payer in this snapshot: Lundbeck LLC ($120).
Total Amount
$242
General + Research + Ownership
Payments
8
Total payment records
General Amount
$242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $120 |
| ITI, Inc. | $74 |
| Otsuka America Pharmaceutical, Inc. | $27 |
| Axsome Therapeutics, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-02-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240229003214 | I | Psychiatry | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Pediatric Medicine | NY | |
| P S Y C H I A T R Y | NY | |
| Nurse Practitioner | NJ | |
| Clinical Psychologist | NY | |
| P S Y C H I A T R Y | FL | |
| Clinical Social Worker | NY | |
| Mental Health Counselor | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY |
Reviews
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