Jesry Bacarisas
Registered Nurse, Emergency in Philadelphia, PA. Individual provider (NPI-1).
NPI number1952027872
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1952027872
- Entity type
- Individual (NPI-1)
- Name
- Jesry Bacarisas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2022
- Certification date
- Oct 12, 2022
- Last updated
- Oct 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 163WE0003X | Registered Nurse, Emergency | RN61004277 | WA | Yes |
Practice location
1200 Intrepid AvePhiladelphia, PA 19112-1229
Phone 800-748-3243
Mailing address
7821 S K StTacoma, WA 98408-2922
Other practice locations
1200 Intrepid Ave
Philadelphia, PA 19112-1229
Philadelphia, PA 19112-1229
Phone 800-748-3243
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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