MR. JESSE KORTH NP-C
NPI 1457870586
Nurse Practitioner - Family in San Jose, CA

Q: What is Jesse Korth's NPI number?

The NPI number for Jesse Korth is 1457870586. It was assigned to this individual provider in the NPPES registry on September 9, 2017.

Q: What is Jesse Korth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Korth was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 09, 2017PECOS Enrolled

255 N WHITE RD STE 200, SAN JOSE, CA 95127(866) 646-3553 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2019, Oct 14, 2019 (2 updates tracked since 2019).

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About Mr. Jesse Korth Np-c NPPES

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

MR. JESSE KORTH NP-C (NPI 1457870586) is an individual family provider in San Jose, California, licensed in California (95012974) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457870586

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JESSE KORTHCredential: NP-C

Location Address255 N WHITE RD STE 200San Jose, CA 95127-1966

Mailing AddressPo Box 28782San Jose, CA 95159-8782

Phone(866) 646-3553

Sole ProprietorYes

Enumeration DateSeptember 9, 2017

Last NPPES UpdateDecember 30, 20192 updates tracked since enumeration

✔ NPI 1457870586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95012974

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 95028029 (CA), 87827 (WV), 238714 (NC)

255 N WHITE RD STE 200, San Jose, CA 95127

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Other Identifiers 2

Other95012974CA · Board Of Nursing Np License

Other95029028CA · Board Of Nursing

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jesse Korth Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Jesse Korth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carelon Medical Partners Of Arizona, P.C.

718 mi

Family Medicine

7091 E SPEEDWAY BLVD
Tucson, AZ 85710

Reassigned Medicare billing, Arizona and District of Columbia enrollments
Medicare enrollment name: Carelon Medical Partners Of Arizona PC
Also billed through NPI 1730697483 (District of Columbia)
39 clinicians in this Medicare group

NPI 1972879773 (520) 721-5777

Carelon Medical Partners, PC

1,941 mi

Hospice and Palliative Medicine

22 CENTURY BLVD STE 220
Nashville, TN 37214

Reassigned Medicare billing, Nevada enrollment
27 clinicians in this Medicare group

NPI 1124443403 (615) 454-9850

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95127 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE GORDON

Physician Assistant