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

Jesse Blake Bauer

Individual provider Emergency Medicine Physician · NPI 1871024117

Jesse Blake Bauer is an Emergency Medicine in Tallahassee, Florida. Qualified in 2017, 9 years ago. Practices with Tallahassee Memorial Healthcare Inc, a 497-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
9
Licensed in
FL, NC
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone: (850) 431-0911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-3181

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 227135 (NC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence ME145248 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871024117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2017
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address1607 Saint James Ct Ste 1, Tallahassee, FL 32308-5352

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Tallahassee Memorial Healthcare Inc — 497 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tallahassee