Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Lee Bach, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1598319642

Cody Lee Bach, FNP-BC is a Nurse Practitioner in Crescent City, California. Qualified in 2008, 18 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
18
Licensed in
CO
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

780 E Washington Blvd
Crescent City, CA 95531-8397
Phone: (775) 322-4550
Fax: (775) 322-4956
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5437 Kietzke Ln, Reno, NV 89511-1088 — (775) 322-4550

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0994785 (CO)

Record details

NPI number1598319642
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 26, 2019
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Crescent City