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MRS. KENBERLY KAY BAUGHMAN MSN, APRN, FNP-C
NPI 1275248536
Nurse Practitioner - Family in Bogalusa, LA

Active since January 20, 2023PECOS EnrolledAccepts Medicare Assignment
106 AVENUE B STE B, BOGALUSA, LA 70427(985) 730-6950(985) 545-1036 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 22, 2024, Jun 19, 2023, Jan 20, 2023 (3 updates tracked since 2023).

About Mrs. Kenberly Kay Baughman Msn, Aprn, Fnp-c NPPES

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

MRS. KENBERLY KAY BAUGHMAN MSN, APRN, FNP-C (NPI 1275248536) is an individual family provider in Bogalusa, Louisiana, licensed in Louisiana (230549) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with St Tammany Parish Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275248536
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KENBERLY KAY BAUGHMANCredential: MSN, APRN, FNP-C
Location Address106 AVENUE B STE BBogalusa, LA 70427-3734
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (985) 730-6950 · Fax (225) 765-9196
Phone(985) 730-6950
Fax(985) 545-1036
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 20, 2023
Last NPPES UpdateApril 22, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1275248536 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
License✔ Licensed in LA · 230549
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License RN126640 (LA)
106 AVENUE B STE B, Bogalusa, LA 70427
Open in Google Maps ↗

Secondary Practice Locations 2

Location 142388 Pelican Professional ParkHammond, LA 70403-2412 · Phone (985) 542-6251
Location 21810 Lindberg Dr Ste 1100Slidell, LA 70458-8158 · Phone (985) 646-0945 · Fax (985) 643-8510

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Mrs. Kenberly Kay Baughman Msn, Aprn, Fnp-c 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 ID4587018064
PECOS Enrollment IDI20231003000410
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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
416 services63 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
98 services42 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
61 services25 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
46 services22 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
45 services42 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
27 services23 patients

Hospital Affiliations CMS Care Compare 2

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

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Our Lady Of The Angels Hospital

Acute Care Hospitals · Bogalusa, LA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190312
Location433 Plaza StreetBogalusa, LA 70427 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70427 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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 Kenberly Baughman's NPI number?

The NPI number for Kenberly Baughman is 1275248536. It was assigned to this individual provider in the NPPES registry on January 20, 2023.

Where is Kenberly Baughman located?

Kenberly Baughman practices at 106 Avenue B Ste B, Bogalusa, LA 70427. The listed phone number is (985) 730-6950.

What is Kenberly Baughman's specialty?

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

Is Kenberly Baughman enrolled in Medicare?

Yes. Kenberly Baughman 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 Kenberly Baughman accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and HMO Louisiana and 1 other insurer list Kenberly Baughman 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 Kenberly Baughman affiliated with any hospitals?

According to CMS data, Kenberly Baughman is affiliated with St Tammany Parish Hospital and Our Lady Of The Angels Hospital.

When was this NPI record last updated?

The NPPES record for Kenberly Baughman was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.