Nackea Rose Bachman, PA
Physician Assistant, Medical in Philadelphia, PA. Individual provider (NPI-1).
NPI number1366073728
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1366073728
- Entity type
- Individual (NPI-1)
- Name
- Miss Nackea Rose Bachman
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2020
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA061627 | PA | Yes |
Practice location
1237 Spring Garden StPhiladelphia, PA 19123-3469
Phone 215-769-3561 · Fax 215-232-1785
Mailing address
1237 Spring Garden StPhiladelphia, PA 19123-3469
Phone 215-769-3561 · Fax 215-232-1785
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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