DR. JESSICA BAGBY MD
NPI 1093161473
Emergency Medicine in Rupert, ID
About Dr. Jessica Bagby Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSICA BAGBY MD (NPI 1093161473) is an individual emergency medicine provider in Rupert, Idaho, licensed in California (A150392) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jessica Bagby Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Jessica Bagby reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rupert, ID 83350
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1134333495 (Idaho)
- 60 clinicians in this Medicare group
Burley, ID 83318
- Reassigned Medicare billing, Idaho enrollment
- 109 clinicians in this Medicare group
San Diego, CA 92127
- Reassigned Medicare billing, California enrollment
- 271 clinicians in this Medicare group
Encinitas, CA 92024
- Reassigned Medicare billing, California enrollment
- 221 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1003934803 (California)
- 1,051 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RUPERT, ID 83350
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Bagby's NPI number?
The NPI number for Jessica Bagby is 1093161473. It was assigned to this individual provider in the NPPES registry on May 4, 2016. The provider is also known as Jessica Brice MD.
Where is Jessica Bagby located?
Jessica Bagby practices at 1224 8th St, Rupert, ID 83350. The listed phone number is (208) 436-0481.
What is Jessica Bagby's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jessica Bagby enrolled in Medicare?
Yes. Jessica Bagby is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jessica Bagby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bagby reassigns Medicare benefits to 5 organizations: Minidoka Memorial Hospital (Rupert, ID), Ihc Health Services Inc (Burley, ID), Uc San Diego Health Community Group (San Diego, CA), Regents Of The University Of California (Encinitas, CA) and Regents Of The University Of California (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Bagby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Bagby was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jessica Bagby, MD · NPI 1093161473
Emergency Medicine physician in Rupert, Idaho. Individual provider, active in the CMS NPPES registry since May 4, 2016.
## Identity
- **NPI:** 1093161473 (Entity type: Individual)
- **Enumerated:** May 4, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A150392 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1224 8TH ST, Rupert, ID 83350-1527
- **Phone:** (208) 436-0481
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Minidoka Memorial Hospital (NPI 1679553531, Rupert, ID); Ihc Health Services Inc (NPI 1891932422, Burley, ID); Uc San Diego Health Community Group (NPI 1659864247, San Diego, CA); Regents Of The University Of California (NPI 1952637050, Encinitas, CA); Regents Of The University Of California (NPI 1487772380, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093161473) · Data from the CMS NPPES public registry.