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JACY BAYLESS ARNP
NPI 1134904287
Family Medicine in Shenandoah, IA

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
300 PERSHING AVE, SHENANDOAH, IA 51601(712) 246-7400 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacy Bayless Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACY BAYLESS ARNP (NPI 1134904287) is an individual family medicine provider in Shenandoah, Iowa, licensed in Iowa (A175904) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Shenandoah Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134904287
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACY BAYLESSCredential: ARNP
Location Address300 PERSHING AVEShenandoah, IA 51601-2355
Mailing Address600 West StShenandoah, IA 51601-1935
Phone(712) 246-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 28, 2023
✔ NPI 1134904287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · A175904
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 PERSHING AVE, Shenandoah, IA 51601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacy Bayless Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426403841
PECOS Enrollment IDI20231004003297
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacy Bayless reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shenandoah Medical Center
Same address
Rural Health
1 JACK FOSTER DR
Shenandoah, IA 51601
  • Reassigned Medicare billing, Iowa enrollment
  • 91 clinicians in this Medicare group
NPI 1427300201 (712) 246-7240

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shenandoah Medical Center

Critical Access Hospitals · Shenandoah, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161366
Location300 Pershing AvenueShenandoah, IA 51601 · Page County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALISHA ANN HOUCHIN PTA
Physical Therapy Assistant
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7000
LINDA ROST LMSW
Social Worker
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-1230
AMANDA NICOLE SMITH NP
Nurse Practitioner
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7300
DR. LEVI CORY SMITH DPM
Podiatrist
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7400
STEPHANIE EIDE
Occupational Therapist
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-1230
DR. ASHLEE JO RICHARDSON PT, DPT
Physical Therapist
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7000
DENISE J MCENANEY
Dietitian, Registered
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7400
JENNIFER ANN LUNDGREN PMHNP
Psychiatry & Neurology (Psychiatry)
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7285

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 Jacy Bayless's NPI number?

The NPI number for Jacy Bayless is 1134904287. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Jacy Bayless located?

Jacy Bayless practices at 300 Pershing Ave, Shenandoah, IA 51601. The listed phone number is (712) 246-7400.

What is Jacy Bayless's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacy Bayless enrolled in Medicare?

Yes. Jacy Bayless is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacy Bayless's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacy Bayless reassigns Medicare benefits to Shenandoah Medical Center (Shenandoah, IA). The 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 Jacy Bayless's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacy Bayless accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Jacy Bayless as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacy Bayless affiliated with any hospitals?

According to CMS data, Jacy Bayless is affiliated with Shenandoah Medical Center.

When was this NPI record last updated?

The NPPES record for Jacy Bayless was last updated on August 28, 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.