JESSICA L BAIN (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1760978167
Acute Care Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for JESSICA L BAIN (AGACNP-BC)
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
1701 N Senate Blvd
Indianapolis, IN 462021239
Phone: (317) 962-0585
Fax: (317) 962-2082
Type: Location
500, Medical Center Boulevard, Conroe, Montgomery County, Texas, 77304, United States
CONROE, TX 773042889
Phone: (936) 539-1111
Type: Location
219, Medical Center Boulevard, Conroe, Montgomery County, Texas, 77304, United States
CONROE, TX 773042800
Phone:
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 $221.
Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: GENZYME CORPORATION ($116).
Total Amount
$221
General + Research + Ownership
Payments
2
Total payment records
General Amount
$221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $116 |
| Dexcom, Inc. | $105 |
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: 2024-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20180830000828 | I | Nurse Practitioner | TX | TBD |
| I20230208002310 | I | Nurse Practitioner | IN | TBD |
| I20240318002239 | I | Nurse Practitioner | NJ | TBD |
| I20240415003117 | I | Nurse Practitioner | 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 46219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Physician Assistant | NJ | |
| Internal Medicine | NJ | |
| Infectious Disease, Internal Medicine | TN | |
| Internal Medicine | NJ | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | FL | |
| - | NY | |
| Internal Medicine | NJ | |
| - | TN | |
| Family Practice | NJ |
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