KATHLEEN BAXLEY FNP-BC
NPI 1023599560
Nurse Practitioner - Family in West Columbia, SC

Active since August 23, 2018PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
3314 PLATT SPRINGS RD, WEST COLUMBIA, SC 29170(803) 791-3494(803) 739-9854 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 8, 2023, Aug 23, 2018 (2 updates tracked since 2018).

About Kathleen Baxley Fnp-bc NPPES

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

KATHLEEN BAXLEY FNP-BC (NPI 1023599560) is an individual family provider in West Columbia, South Carolina, licensed in South Carolina (22174) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023599560
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN BAXLEYCredential: FNP-BC
Location Address3314 PLATT SPRINGS RDWest Columbia, SC 29170-2204
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 791-3494 · Fax (803) 794-4317
Fax(803) 739-9854
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 23, 2018
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
NPI 1023599560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 22174
3314 PLATT SPRINGS RD, West Columbia, SC 29170

Accepted Insurance

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

Kathleen Baxley Fnp-bc 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 ID8820337074
PECOS Enrollment IDI20190305002407
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
330 services242 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
104 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services59 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
57 services48 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
52 services49 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
36 services28 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29170 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Other Providers at the Same Location NPPES 13

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

Family Medicine
3314 PLATT SPRINGS RD
WEST COLUMBIA, SC 29170
Family Medicine
3314 PLATT SPRINGS RD
WEST COLUMBIA, SC 29170
Nurse Practitioner (Family)
3314 PLATT SPRINGS RD
WEST COLUMBIA, SC 29170
Family Medicine
3314 PLATT SPRINGS RD
WEST COLUMBIA, SC 29170
Family Medicine
3314 PLATT SPRINGS RD
WEST COLUMBIA, SC 29170
Family Medicine
3314 PLATT SPRINGS RD
WEST COLUMBIA, SC 29170
Family Medicine
3314 PLATT SPRINGS RD
WEST COLUMBIA, SC 29170
Physician Assistant (Medical)
3314 PLATT SPRINGS RD
WEST COLUMBIA, SC 29170

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 Kathleen Baxley's NPI number?

The NPI number for Kathleen Baxley is 1023599560. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is Kathleen Baxley located?

Kathleen Baxley practices at 3314 Platt Springs Rd, West Columbia, SC 29170. The listed phone number is (803) 791-3494.

What is Kathleen Baxley's specialty?

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

Is Kathleen Baxley enrolled in Medicare?

Yes. Kathleen Baxley 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.

What insurance does Kathleen Baxley accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Kathleen Baxley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathleen Baxley affiliated with any hospitals?

According to CMS data, Kathleen Baxley is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Baxley was last updated on March 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.