JENNIFER BAUM (PA) – Physician Assistant, NPI 1376621565

JENNIFER BAUM (PA) is a healthcare provider. based in Melbourne, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9103825 (FL). The NPI Number for JENNIFER BAUM (PA) is 1376621565

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BAUM (PA)
NPI
1376621565
Phone
(321) 727-8940
Address
575 S Wickham Rd
Enumeration Date
2 November 2006
Last Update Date
21 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3217277992114
Graduation Year
2006 (20 years ago)
PAC ID
2264539402
Group Practice PAC ID
4789665738
Professional Enrollment ID
I20070522000572
Address ID
FL329013111ME1314XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JENNIFER BAUM (PA)

  • 575 S Wickham Rd

    Melbourne, FL 329041170

    Phone: (321) 727-8940

    Fax: (321) 733-7050

    Type: Location

  • Country Barn Cafe, 575, South Wickham Road, West Melbourne, Brevard County, Florida, 32904, United States

    MELBOURNE, FL 329041170

    Phone: (321) 727-8940

    Fax: (321) 733-7050

    Type: Location

  • 1314 OAK ST

    MELBOURNE, FL 329013111

    Phone: (321) 727-7992

    Fax: (321) 727-7664

    Type: Location

  • 1314, Oak Street, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329013111

    Phone: (321) 727-7992

    Fax: (321) 727-7664

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $162.

Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Pulmonx Corporation ($140).

Total Amount

$162

General + Research + Ownership

Payments

2

Total payment records

General Amount

$162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Pulmonx Corporation$140
Resmed Corp$22
View all Open Payments →|Open Payments Risk Radar →

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: 2007-05-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070522000572IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes409174$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes207129$0
View full utilization report →

Insurance plans in this area (ZIP 32904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789665738View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)NJ
Physician AssistantMI
Physician AssistantFL
Nurse PractitionerFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Physician AssistantFL
-FL
Critical Care (Intensivists), Pulmonary DiseaseFL
Critical Care (Intensivists), Internal MedicineSC
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is JENNIFER BAUM (PA) listed with a National Provider Identifier?
Yes — JENNIFER BAUM (PA) has NPI 1376621565 on file in the registry.
Active or inactive — what applies to JENNIFER BAUM (PA)?
You should see JENNIFER BAUM (PA) as active in CMS-hosted NPPES data.
What expertise is attributed to JENNIFER BAUM (PA)?
JENNIFER BAUM (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNIFER BAUM (PA)?
Travel planning: use Melbourne, Florida as the reference point for JENNIFER BAUM (PA), then confirm.
Does JENNIFER BAUM (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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