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

Jack T Baden, NPC

Individual provider Nurse Practitioner · NPI 1598118424

Jack T Baden, NPC is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2016, 10 years ago. Practices with Innovis Health LLC, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
10
Licensed in
ND
In the registry since
2016
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Practice location Address checks out

4110 51st Ave S
Fargo, ND 58104
Phone: (701) 364-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R34830 (ND)

Record details

NPI number1598118424
Entity typeIndividual (Type 1)
GenderMale
Credentials NPC
Sole proprietorNo
NPI enumeratedJuly 15, 2016
Last updated in NPPESSeptember 7, 2016
Mailing addressPo Box 6001, Fargo, ND 58108-6001

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fargo