DR. NICOLE LARISSA BALDWIN MD
NPI 1366903205
Psychiatry & Neurology - Neurology in Miami, FL
About Dr. Nicole Larissa Baldwin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE LARISSA BALDWIN MD (NPI 1366903205) is an individual neurology provider in Miami, Florida, licensed in Florida (ME163386) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Duluth.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Dr. Nicole Larissa Baldwin Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Baldwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33136
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Duluth, MN 55807
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Duluth
Acute Care Hospitals · Duluth, MNEssentia Health Virginia
Acute Care Hospitals · Virginia, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
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 Nicole Baldwin's NPI number?
The NPI number for Nicole Baldwin is 1366903205. It was assigned to this individual provider in the NPPES registry on March 25, 2019.
Where is Nicole Baldwin located?
Nicole Baldwin practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-4323.
What is Nicole Baldwin's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Nicole Baldwin enrolled in Medicare?
Yes. Nicole Baldwin 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 organizations bill Medicare for Nicole Baldwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Baldwin reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and The Duluth Clinic Ltd (Duluth, MN). 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 Nicole Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Baldwin accept?
Health plans from AmeriHealth Caritas Next list Nicole 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.
Is Nicole Baldwin affiliated with any hospitals?
According to CMS data, Nicole Baldwin is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth and Essentia Health Virginia.
When was this NPI record last updated?
The NPPES record for Nicole Baldwin was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Nicole Larissa Baldwin, MD · NPI 1366903205
Neurology physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1366903205 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** ME163386 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1611 NW 12TH AVE, Miami, FL 33136-1005
- **Phone:** (305) 243-4323
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Miami (NPI 1922058544, Miami, FL); The Duluth Clinic Ltd (NPI 1730028770, Duluth, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2019
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366903205) · Data from the CMS NPPES public registry.