ASHLEE M BALDWIN FNP-C
NPI 1417620980
Nurse Practitioner - Family in Parkersburg, WV

Active since July 29, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1907 ANN ST, PARKERSBURG, WV 26101(304) 424-4205 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2022, Jul 29, 2021 (2 updates tracked since 2021).

About Ashlee M Baldwin Fnp-c NPPES

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

ASHLEE M BALDWIN FNP-C (NPI 1417620980) is an individual family provider in Parkersburg, West Virginia, licensed in West Virginia (85943) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Camden Clark Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417620980
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEE M BALDWINCredential: FNP-C
Location Address1907 ANN STParkersburg, WV 26101-2504
Mailing Address1907 Ann StParkersburg, WV 26101-2504
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 29, 2021
Last NPPES UpdateMay 19, 20222 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
NPI 1417620980 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 WV · 85943
1907 ANN ST, Parkersburg, WV 26101

Accepted 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

Ashlee M Baldwin 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 ID4082009659
PECOS Enrollment IDI20220317000414
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 6

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 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.
226 services165 patients
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.
79 services61 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
27 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services12 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26101 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
1907 ANN ST
PARKERSBURG, WV 26101
Internal Medicine
1907 ANN ST
PARKERSBURG, WV 26101
Nurse Practitioner (Family)
1907 ANN ST
PARKERSBURG, WV 26101
Family Medicine
1907 ANN ST
PARKERSBURG, WV 26101
Family Medicine
1907 ANN ST
PARKERSBURG, WV 26101
Family Medicine
1907 ANN ST
PARKERSBURG, WV 26101
Family Medicine
1907 ANN ST
PARKERSBURG, WV 26101
Family Medicine
1907 ANN ST
PARKERSBURG, WV 26101

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 Ashlee Baldwin's NPI number?

The NPI number for Ashlee Baldwin is 1417620980. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Ashlee Baldwin located?

Ashlee Baldwin practices at 1907 Ann St, Parkersburg, WV 26101. The listed phone number is (304) 424-4205.

What is Ashlee Baldwin's specialty?

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

Is Ashlee Baldwin enrolled in Medicare?

Yes. Ashlee 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 Ashlee Baldwin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Ashlee 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 Ashlee Baldwin affiliated with any hospitals?

According to CMS data, Ashlee Baldwin is affiliated with Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for Ashlee Baldwin was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.