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

Jody M Bauer, PA-C

Individual provider Physician Assistant · NPI 1588030613

Jody M Bauer, PA-C is a Physician Assistant in Bismarck, North Dakota. Qualified in 2015, 11 years ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
11
Licensed in
ND
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

727 Kirkwood Mall
Bismarck, ND 58504-5753
Phone: (701) 712-4500
Fax: (701) 712-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0600 (ND)

Record details

NPI number1588030613
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2015
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address401 N 9th St, Bismarck, ND 58501-4530

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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