JEFFREY VICTOR BYMARK
NPI 1871341156
Student in an Organized Health Care Education/Training Program in Fort Liberty, NC

Active since May 10, 2024PECOS EnrolledAccepts Medicare Assignment
2175 ROCK MERRITT AVE, FORT LIBERTY, NC 28310(910) 907-7698 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey Victor Bymark NPPES

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

JEFFREY VICTOR BYMARK (NPI 1871341156) is an individual student in an organized health care education/training program in Fort Liberty, North Carolina and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1871341156
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEFFREY VICTOR BYMARK
Location Address2175 ROCK MERRITT AVEFort Liberty, NC 28310-0001
Mailing Address2175 Rock Merritt AveFort Liberty, NC 28310-0001 · (910) 907-7698
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 10, 2024
NPPES CertifiedMay 10, 2024
NPI 1871341156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2175 ROCK MERRITT AVE, Fort Liberty, NC 28310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Victor Bymark 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 ID2365931524
PECOS Enrollment IDI20251028003437
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.

Hospital Affiliations CMS Care Compare 2

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240076
Location303 Catlin StreetBuffalo, MN 55313 · Wright County
Birthing friendly

Other Providers at the Same Location NPPES 9

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

Student in an Organized Health Care Education/Training Program
2175 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Student in an Organized Health Care Education/Training Program
2175 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Student in an Organized Health Care Education/Training Program
2175 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Student in an Organized Health Care Education/Training Program
2175 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Physician Assistant (Medical)
2175 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Student in an Organized Health Care Education/Training Program
2175 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Student in an Organized Health Care Education/Training Program
2175 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
General Practice
2175 ROCK MERRITT AVE
FORT BRAGG, NC 28310

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 Jeffrey Bymark's NPI number?

The NPI number for Jeffrey Bymark is 1871341156. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Where is Jeffrey Bymark located?

Jeffrey Bymark practices at 2175 Rock Merritt Ave, Fort Liberty, NC 28310. The listed phone number is (910) 907-7698.

What is Jeffrey Bymark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeffrey Bymark enrolled in Medicare?

Yes. Jeffrey Bymark 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.

Is Jeffrey Bymark affiliated with any hospitals?

According to CMS data, Jeffrey Bymark is affiliated with Park Nicollet Methodist Hospital and Buffalo Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Bymark was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.