JESSICA BAILEY (PA) – Surgical Physician Assistant, NPI 1588909261

JESSICA BAILEY (PA) is a healthcare provider. based in Pocatello, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA-1033 (ID). The NPI Number for JESSICA BAILEY (PA) is 1588909261

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA BAILEY (PA)
NPI
1588909261
Phone
(208) 232-2146
Address
333 N. 18TH AVENUE
Enumeration Date
6 December 2012
Last Update Date
14 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012132995
Graduation Year
2012 (14 years ago)
PAC ID
6800041393
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20191031000915
Address ID
UT841320100SA50XXXDRXX400
Telehealth
Yes

Contacts

Secure Messaging
jredding382030@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for JESSICA BAILEY (PA)

  • 333 N. 18TH AVENUE

    SUITE #B

    POCATELLO, ID 83201

    Phone: (208) 232-2146

    Fax: (208) 232-2770

    Type: Mailing

  • 333 N 18TH AVE

    SUITE #B

    POCATELLO, ID 832013358

    Phone: (208) 232-2146

    Fax: (208) 232-2770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-08-02 • Largest payer in this snapshot: Boston Scientific Corporation ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130307000396IPhysician AssistantIDTBD
I20191031000915IPhysician AssistantUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes164139$0
99204New patient office or other outpatient visit, 45-59 minutes137137$0
92504Exam of ear using a microscope135119$0
69210Removal of impacted ear wax11195$0
31231Diagnostic exam of nasal passages using an endoscope2725$0
View full utilization report →

Insurance plans in this area (ZIP 83201)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

Is JESSICA BAILEY (PA) listed with a National Provider Identifier?
Yes — JESSICA BAILEY (PA) has NPI 1588909261 on file in the registry.
Active or inactive — what applies to JESSICA BAILEY (PA)?
You should see JESSICA BAILEY (PA) as active in CMS-hosted NPPES data.
What clinical focus is listed for JESSICA BAILEY (PA)?
At a glance, JESSICA BAILEY (PA) is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Idaho is JESSICA BAILEY (PA) registered?
Use Pocatello, Idaho as the headline location for JESSICA BAILEY (PA) here.
When was this NPI issued?
Enumeration for JESSICA BAILEY (PA) is noted as December 6, 2012 where the registry provides it.

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