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JACK SHEVLIN BAILEY DO
NPI 1942902523
Student in an Organized Health Care Education/Training Program in Portsmouth, NH

Active since March 20, 2023PECOS Enrolled
333 BORTHWICK AVE STE 100, PORTSMOUTH, NH 03801(603) 559-4129 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Shevlin Bailey Do NPPES

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

JACK SHEVLIN BAILEY DO (NPI 1942902523) is an individual student in an organized health care education/training program in Portsmouth, New Hampshire and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942902523
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK SHEVLIN BAILEYCredential: DO
Location Address333 BORTHWICK AVE STE 100Portsmouth, NH 03801-4198
Mailing Address333 Borthwick Ave Ste 100Portsmouth, NH 03801-4198 · (603) 559-4129
Phone(603) 559-4129
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 19, 2023
✔ NPI 1942902523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

333 BORTHWICK AVE STE 100, Portsmouth, NH 03801
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Shevlin Bailey Do 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.

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.

ALEXANDRA LOOMIS DO
Emergency Medicine
333 BORTHWICK AVE STE 100
PORTSMOUTH, NH 03801
Rockingham County (617) 763-1295
EMILY KERI RIEMER MD
Student in an Organized Health Care Education/Training Program
333 BORTHWICK AVE STE 100, GRADUATE MEDICAL EDUCATION
PORTSMOUTH, NH 03801
Rockingham County (603) 436-5110
JORGE EDUARDO SAONA CENTENO M.D.
Hospitalist
333 BORTHWICK AVE STE 100
PORTSMOUTH, NH 03801
Rockingham County (561) 965-7300
DR. LAUREN DEMARIS DO
Internal Medicine
333 BORTHWICK AVE STE 100
PORTSMOUTH, NH 03801
Rockingham County (603) 436-5110
DOMINIC FOOA
Registered Nurse (Critical Care Medicine)
333 BORTHWICK AVE STE 100
PORTSMOUTH, NH 03801
Rockingham County (603) 436-5110
NIKITA ROSEWELL MD
Student in an Organized Health Care Education/Training Program
333 BORTHWICK AVE STE 100
PORTSMOUTH, NH 03801
Rockingham County (603) 559-4129
LIZBETH ANNE LIAKOS
Occupational Therapist
333 BORTHWICK AVE STE 100
PORTSMOUTH, NH 03801
Rockingham County (603) 433-5110
DR. ORI OFFENBACH OFEK MD
Internal Medicine
333 BORTHWICK AVE STE 100
PORTSMOUTH, NH 03801
Rockingham County (603) 436-5110

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 Jack Bailey's NPI number?

The NPI number for Jack Bailey is 1942902523. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Jack Bailey located?

Jack Bailey practices at 333 Borthwick Ave Ste 100, Portsmouth, NH 03801. The listed phone number is (603) 559-4129.

What is Jack Bailey's specialty?

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

Is Jack Bailey enrolled in Medicare?

Yes. Jack Bailey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Bailey was last updated on March 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.