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MR. IAN LLOYD RUIZ BACCAY RN
NPI 1093496069
Nurse Practitioner in Fort Mohave, AZ

Active since July 31, 2023PECOS EnrolledAccepts Medicare Assignment
5263 S HIGHWAY 95 , FORT MOHAVE, AZ 86426, FORT MOHAVE, AZ 86426(928) 704-6400 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2025, May 2, 2024 (2 updates tracked since 2024).

About Mr. Ian Lloyd Ruiz Baccay Rn NPPES

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

MR. IAN LLOYD RUIZ BACCAY RN (NPI 1093496069) is an individual nurse practitioner in Fort Mohave, Arizona, licensed in Arizona (295726) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Guam Regional Medical City, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093496069
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. IAN LLOYD RUIZ BACCAYCredential: RN
Location Address5263 S HIGHWAY 95 , FORT MOHAVE, AZ 86426Fort Mohave, AZ 86426-9223
Mailing Address4425 S Bernard PlFort Mohave, AZ 86426-5388 · (928) 299-1268
Phone(928) 704-6400
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 31, 2023
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1093496069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · 295726
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 100460 (GU)
5263 S HIGHWAY 95 , FORT MOHAVE, AZ 86426, Fort Mohave, AZ 86426
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ian Lloyd Ruiz Baccay Rn 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 ID7315300993
PECOS Enrollment IDI20250723003961
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.

Medicare Billing Reassignment

Medicare enrollment records show Ian Lloyd Baccay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guam Healthcare Development Incorporated
Clinic/Center
133 ROUTE 3
Dededo, GU 96929
  • Reassigned Medicare billing, Guam enrollment
  • 432 clinicians in this Medicare group
NPI 1326447939 (671) 645-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
79 services55 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.
76 services50 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
56 services18 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
31 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Guam Regional Medical City

Acute Care Hospitals · Dededo, GU
OwnershipVoluntary non-profit - Private
CMS Certification Number650003
Location133 Route 3Dededo, GU 96929 · Guam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86426 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Ian Lloyd Baccay's NPI number?

The NPI number for Ian Lloyd Baccay is 1093496069. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Ian Lloyd Baccay located?

Ian Lloyd Baccay practices at 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426. The listed phone number is (928) 704-6400.

What is Ian Lloyd Baccay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ian Lloyd Baccay enrolled in Medicare?

Yes. Ian Lloyd Baccay 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.

Which organization bills Medicare for Ian Lloyd Baccay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Lloyd Baccay reassigns Medicare benefits to Guam Healthcare Development Incorporated (Dededo, GU). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ian Lloyd Baccay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ian Lloyd Baccay affiliated with any hospitals?

According to CMS data, Ian Lloyd Baccay is affiliated with Guam Regional Medical City.

When was this NPI record last updated?

The NPPES record for Ian Lloyd Baccay was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.