NAOMI NOELLE BACH – Nurse Practitioner, NPI 1003229204

NAOMI NOELLE BACH is a healthcare provider. based in Worthington, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 108831 (IA). The NPI Number for NAOMI NOELLE BACH is 1003229204

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
NAOMI NOELLE BACH
NPI
1003229204
Phone
(507) 372-3271
Address
1018 6TH AVE
Enumeration Date
4 June 2014
Last Update Date
22 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5078312400
Graduation Year
2013 (13 years ago)
PAC ID
2466776513
Group Practice PAC ID
7113911272
Professional Enrollment ID
I20150120000522
Address ID
MN561011287WI2150XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:12State licenses:3Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for NAOMI NOELLE BACH

  • 1018 6TH AVE

    WORTHINGTON, MN 561872202

    Phone: (507) 372-3271

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Smith+Nephew, Inc. ($36).

Total Amount

$101

General + Research + Ownership

Payments

6

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2015-01-20

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
I20150120000522INurse PractitionerMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56187)

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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: 7113911272View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerMN
Physician AssistantMN
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)WI
O B S T E T R I C S/ G Y N E C O L O G YMN
-MN
General SurgeryMN

Reviews

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Frequently asked questions

Does NAOMI NOELLE BACH have a public NPI I can cite?
Public records show NAOMI NOELLE BACH under NPI 1003229204.
Quick check: is NAOMI NOELLE BACH active?
Public NPPES data shows NAOMI NOELLE BACH with an active NPI status right now.
What services align with NAOMI NOELLE BACH's listing?
NAOMI NOELLE BACH's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NAOMI NOELLE BACH?
NAOMI NOELLE BACH is associated with Worthington, Minnesota in the same public data insurers reference.
Why is information missing for NAOMI NOELLE BACH?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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