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KATHERINE HAYDON BALDWIN NP-C
NPI 1114437795
Nurse Practitioner - Family in Elizabethtown, KY

Active since October 09, 2017PECOS Enrolled
3970 BARDSTOWN RD, ELIZABETHTOWN, KY 42701(844) 435-0900(270) 858-4029 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2023, Jun 8, 2021, Oct 9, 2017 (3 updates tracked since 2017).

About Katherine Haydon Baldwin Np-c NPPES

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

KATHERINE HAYDON BALDWIN NP-C (NPI 1114437795) is an individual family provider in Elizabethtown, Kentucky, licensed in Kentucky (3011744) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114437795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE HAYDON BALDWINCredential: NP-C
Location Address3970 BARDSTOWN RDElizabethtown, KY 42701-9787
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4607
Phone(844) 435-0900
Fax(270) 858-4029
Sole ProprietorNo
Enumeration DateOctober 9, 2017
Last NPPES UpdateMay 12, 20233 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1114437795 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 KY · 3011744
3970 BARDSTOWN RD, Elizabethtown, KY 42701
Open in Google Maps ↗

Other Identifiers 2

Other14109510Caqh
Medicaid7100498910KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Haydon Baldwin Np-c 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 Reassignment

Medicare enrollment records show Katherine Baldwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cumberland Family Medical Center Inc
0.1 mi
Federally Qualified Health Center (FQHC)
3970 BARDSTOWN RD
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 276 clinicians in this Medicare group
NPI 1841760279 (270) 737-7227

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 42701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

CUMBERLAND FAMILY MEDICAL CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
3970 BARDSTOWN RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 737-7227

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 Katherine Baldwin's NPI number?

The NPI number for Katherine Baldwin is 1114437795. It was assigned to this individual provider in the NPPES registry on October 9, 2017.

Where is Katherine Baldwin located?

Katherine Baldwin practices at 3970 Bardstown Rd, Elizabethtown, KY 42701. The listed phone number is (844) 435-0900.

What is Katherine Baldwin's specialty?

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

Is Katherine Baldwin enrolled in Medicare?

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

Which organization bills Medicare for Katherine Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Baldwin reassigns Medicare benefits to Cumberland Family Medical Center Inc (Elizabethtown, KY). 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 Katherine Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Baldwin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Katherine Baldwin 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.

When was this NPI record last updated?

The NPPES record for Katherine Baldwin was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.