MR. JESSE KORTH NP-C
NPI 1457870586
Nurse Practitioner - Family in San Jose, CA
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
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jesse Korth Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
SAN JOSE, CA 95127
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 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.
Where is Jesse Korth located?
Jesse Korth practices at 255 N White Rd Ste 200, San Jose, CA 95127. The listed phone number is (866) 646-3553.
What is Jesse Korth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jesse Korth enrolled in Medicare?
Yes. Jesse Korth is registered in the Medicare PECOS enrollment system.
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.
# Mr. Jesse Korth, NP-C · NPI 1457870586
Family physician in San Jose, California. Individual provider, active in the CMS NPPES registry since September 9, 2017.
## Identity
- **NPI:** 1457870586 (Entity type: Individual)
- **Enumerated:** September 9, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95012974 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 255 N WHITE RD STE 200, San Jose, CA 95127-1966
- **Phone:** (866) 646-3553
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 30, 2019
- **Other identifiers:** Other 95012974 (CA); Other 95029028 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1457870586) · Data from the CMS NPPES public registry.