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HAYLEY L. BALDWIN NP-C
NPI 1376010728
Nurse Practitioner - Family in Wauseon, OH

Active since October 24, 2018PECOS EnrolledAccepts Medicare Assignment
1190 N SHOOP AVE, WAUSEON, OH 43567(419) 335-4600 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2021, Oct 24, 2018 (2 updates tracked since 2018).

About Hayley L. Baldwin Np-c NPPES

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

HAYLEY L. BALDWIN NP-C (NPI 1376010728) is an individual family provider in Wauseon, Ohio, licensed in Ohio (APRN.CNP.022984) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Toledo Medical College (2018).

NPPES Registry Identity

NPI1376010728
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHAYLEY L. BALDWINCredential: NP-C
Location Address1190 N SHOOP AVEWauseon, OH 43567-2214
Mailing Address6696 Us Highway 20aDelta, OH 43515-9799
Phone(419) 335-4600
Sole ProprietorNo
Medical School CMSToledo Medical CollegeGraduated 2018
Enumeration DateOctober 24, 2018
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1376010728 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 OH · APRN.CNP.022984
1190 N SHOOP AVE, Wauseon, OH 43567
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community, MedMutual 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

Hayley L. Baldwin Np-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 ID8820332596
PECOS Enrollment IDI20190204002878
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
31 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43567 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$4.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MICHELLE HAAS
Nurse Practitioner (Family)
1190 N SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 335-4601
MICHELLE G HAAS N.P.
Nurse Practitioner (Family)
1190 N SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 335-4600

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 Hayley Baldwin's NPI number?

The NPI number for Hayley Baldwin is 1376010728. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Hayley Baldwin located?

Hayley Baldwin practices at 1190 N Shoop Ave, Wauseon, OH 43567. The listed phone number is (419) 335-4600.

What is Hayley Baldwin's specialty?

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

Is Hayley Baldwin enrolled in Medicare?

Yes. Hayley 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.

What insurance does Hayley Baldwin accept?

Health plans from CareSource, McLaren Health Plan Community, MedMutual and Molina Healthcare list Hayley 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 Hayley Baldwin affiliated with any hospitals?

According to CMS data, Hayley Baldwin is affiliated with Promedica Toledo Hospital and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Hayley Baldwin was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.