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STACY MARIE BALDWIN FNP-BC
NPI 1114236395
Nurse Practitioner - Family in Fountain Valley, CA

Active since October 05, 2010PECOS Enrolled
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(877) 844-0012(714) 665-4680 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2026, May 12, 2025, Aug 22, 2024 and 1 more (4 updates tracked since 2018).

About Stacy Marie Baldwin Fnp-bc NPPES

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

STACY MARIE BALDWIN FNP-BC (NPI 1114236395) is an individual family provider in Fountain Valley, California, licensed in California (95000726) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114236395
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY MARIE BALDWINCredential: FNP-BC
Location Address17360 BROOKHURST STFountain Valley, CA 92708-3720
Mailing Address17360 Brookhurst StFountain Valley, CA 92708-3720 · (877) 844-0012 · Fax (714) 665-4680
Phone(877) 844-0012
Fax(714) 665-4680
Sole ProprietorNo
Enumeration DateOctober 5, 2010
Last NPPES UpdateAugust 11, 20264 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1114236395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95000726✔ Licensed in CA · NPF95033207
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License NPF95033207 (CA)
17360 BROOKHURST ST, Fountain Valley, CA 92708
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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 (PECOS)

Stacy Marie Baldwin Fnp-bc 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Stacy Baldwin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorialcare Medical Foundation
Same address
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622
North County Health Project Inc
42 mi
Federally Qualified Health Center (FQHC)
1675 N PERRIS BLVD STE G1
Perris, CA 92571
  • Reassigned Medicare billing, California enrollment
  • 126 clinicians in this Medicare group
NPI 1417321746 (760) 736-6700
Circle Medical Care Of California
376 mi
Family Medicine
333 1ST ST STE A
San Francisco, CA 94105
  • Reassigned Medicare billing, California enrollment
  • 178 clinicians in this Medicare group
NPI 1134596091 (888) 803-3370

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

DR. VINA NGUYEN M. D.
Hospitalist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 665-1797
DR. PAUL D SYCHANGCO M.D,
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (877) 844-0012
MARYANNE ROSE IBRAHIM M.D.
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 665-4614
DR. LYDIA MICHELLE SIMON PHARM.D.
Pharmacist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (657) 241-3248
XUANMAI NGUYEN
Dietitian, Registered
17360 BROOKHURST ST, ATTN: REGISTERED DIETITIAN DEPARTMENT
FOUNTAIN VALLEY, CA 92708
Orange County (714) 916-0881
MS. JUDY ANN PICAZO N.P.
Nurse Practitioner
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 944-1771
TANYA DANSKY M.D.
Pediatrics
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 377-2900
EDDIE LY M.D.
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 665-1797

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 Stacy Baldwin's NPI number?

The NPI number for Stacy Baldwin is 1114236395. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Where is Stacy Baldwin located?

Stacy Baldwin practices at 17360 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (877) 844-0012.

What is Stacy Baldwin's specialty?

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

Is Stacy Baldwin enrolled in Medicare?

Yes. Stacy Baldwin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacy Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Baldwin reassigns Medicare benefits to 3 organizations: Memorialcare Medical Foundation (Fountain Valley, CA), North County Health Project Inc (Perris, CA) and Circle Medical Care Of California (San Francisco, CA). Each 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 Stacy Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Baldwin was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.