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

Jesse Enterline Baccus

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760101646

Jesse Enterline Baccus is a Nurse Practitioner in Elizabeth City, North Carolina. Qualified in 2024, 2 years ago. Practices with Albemarle Physician Services - Sentara Inc, a 79-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

100 Medical Dr
Elizabeth City, NC 27909-3361
Phone: (252) 384-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Moye Blvd, Greenville, NC 27834-4300 — (252) 744-6478

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5020391 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760101646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESAugust 12, 2024
Certification dateAugust 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Albemarle Physician Services - Sentara Inc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Elizabeth City