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ANGELIQUE BACA
NPI 1194662007
Nurse Practitioner - Psychiatric/Mental Health in Pueblo, CO

Active since April 29, 2026PECOS Enrolled
536 S PRAIRIE AVE, PUEBLO, CO 81005(719) 334-5460 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angelique Baca NPPES

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

ANGELIQUE BACA (NPI 1194662007) is an individual psychiatric/mental health provider in Pueblo, Colorado, licensed in Colorado (APN.1001921-NP) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194662007
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANGELIQUE BACA
Location Address536 S PRAIRIE AVEPueblo, CO 81005-1724
Mailing Address536 S Prairie AvePueblo, CO 81005-1724 · (719) 334-5460
Phone(719) 334-5460
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 29, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1194662007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CO · APN.1001921-NP
536 S PRAIRIE AVE, Pueblo, CO 81005
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Secondary Practice Location 1

Location 16656 Summer Grace StColorado Springs, CO 80923-4428 · Phone (520) 612-0466

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelique Baca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224506340
PECOS Enrollment IDI20260507000843
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81005 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 Angelique Baca's NPI number?

The NPI number for Angelique Baca is 1194662007. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Angelique Baca located?

Angelique Baca practices at 536 S Prairie Ave, Pueblo, CO 81005. The listed phone number is (719) 334-5460.

What is Angelique Baca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Angelique Baca enrolled in Medicare?

Yes. Angelique Baca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angelique Baca was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.