Registry record
- NPI
- 1104078054
- Profession
- Nurse Practitioner (NP)
- Specialty
- Primary Care Nurse Practitioner (363LP2300X)
- Practice address
- 175 Mary Max Cir
San Marcos, TX 78666 - Phone
- 9564341377
- In the registry since
- October 22, 2008
- Last NPPES update
- January 13, 2025
- Sole proprietor
- Yes
- License
- AP102784 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Sue Bajackson is 1104078054. They are a Primary Care Nurse Practitioner in San Marcos, Texas.
Sue Bajackson is one of 3 Primary Care Nurse Practitioners in San Marcos and one of 1,246 across Texas in our data.
The NPI has been in the federal registry for 17 years, since October 22, 2008.
Frequently asked questions
What is NPI 1104078054?
NPI 1104078054 is the 10-digit National Provider Identifier assigned to Sue Bajackson, a Primary Care Nurse Practitioner practicing in San Marcos, Texas. The record has been in the NPPES registry since October 22, 2008.
How do I verify this provider?
Cross-check NPI 1104078054 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license AP102784 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as January 13, 2025. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.