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MS. LAURA M BAYLOR APRN-BC
NPI 1033219142
Nurse Practitioner - Family in Belvidere, NJ

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
540 COUNTY ROAD 519, SUITE 2, BELVIDERE, NJ 07823(908) 475-9990(908) 475-9993 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Laura M Baylor Aprn-bc NPPES

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

MS. LAURA M BAYLOR APRN-BC (NPI 1033219142) is an individual family provider in Belvidere, New Jersey, licensed in New Jersey (26NJ000026) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1033219142
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LAURA M BAYLORCredential: APRN-BC
Location Address540 COUNTY ROAD 519, SUITE 2Belvidere, NJ 07823-2672
Mailing AddressPo Box 95000Philadelphia, PA 19195-7550 · (844) 362-1735 · Fax (973) 290-7495
Phone(908) 475-9990
Fax(908) 475-9993
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 27, 2017
✔ NPI 1033219142 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 NJ · 26NJ000026
540 COUNTY ROAD 519, Belvidere, NJ 07823
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINP52391NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Ms. Laura M Baylor Aprn-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 ID1355369786
PECOS Enrollment IDI20051104000056
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 3

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 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.
47 services34 patients
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.
46 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07823 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers23 claims67 services$6.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Laura Baylor's NPI number?

The NPI number for Laura Baylor is 1033219142. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Laura Baylor located?

Laura Baylor practices at 540 County Road 519 Suite 2, Belvidere, NJ 07823. The listed phone number is (908) 475-9990.

What is Laura Baylor's specialty?

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

Is Laura Baylor enrolled in Medicare?

Yes. Laura Baylor 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 Laura Baylor accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Laura Baylor 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 Laura Baylor affiliated with any hospitals?

According to CMS data, Laura Baylor is affiliated with St Luke's Warren Hospital.

When was this NPI record last updated?

The NPPES record for Laura Baylor was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.