SUSAN BALDWIN CRNP
NPI 1477281350
Nurse Practitioner in Ephrata, PA
About Susan Baldwin Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN BALDWIN CRNP (NPI 1477281350) is an individual nurse practitioner in Ephrata, Pennsylvania, licensed in Pennsylvania (SP026081) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Susan Baldwin Crnp 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 Reassignment
Medicare enrollment records show Susan Baldwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ephrata, PA 17522
- Reassigned Medicare billing, Pennsylvania enrollment
- 727 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lancaster General Hospital
Acute Care Hospitals · Lancaster, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17522 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Susan Baldwin's NPI number?
The NPI number for Susan Baldwin is 1477281350. It was assigned to this individual provider in the NPPES registry on August 10, 2022.
Where is Susan Baldwin located?
Susan Baldwin practices at 895 E Main St, Ephrata, PA 17522. The listed phone number is (717) 721-4585.
What is Susan Baldwin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Susan Baldwin enrolled in Medicare?
Yes. Susan 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 organization bills Medicare for Susan Baldwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Baldwin reassigns Medicare benefits to Lancaster General Medical Group (Ephrata, PA). The 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 Susan Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Baldwin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Susan 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 Susan Baldwin affiliated with any hospitals?
According to CMS data, Susan Baldwin is affiliated with Lancaster General Hospital.
When was this NPI record last updated?
The NPPES record for Susan Baldwin was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Susan Baldwin, CRNP · NPI 1477281350
Nurse Practitioner physician in Ephrata, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 10, 2022.
## Identity
- **NPI:** 1477281350 (Entity type: Individual)
- **Enumerated:** August 10, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP026081 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 895 E MAIN ST, Ephrata, PA 17522-2545
- **Phone:** (717) 721-4585
## 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:** Lancaster General Medical Group (NPI 1295000719, Ephrata, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477281350) · Data from the CMS NPPES public registry.