DANA A BAUGHER FNP
NPI 1497268965
Nurse Practitioner - Family in O Fallon, IL
About Dana A Baugher Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA A BAUGHER FNP (NPI 1497268965) is an individual family provider in O Fallon, Illinois, licensed in Illinois (209.016556041.403477) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Dana A Baugher Fnp 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Hospital
Acute Care Hospitals · Breese, ILHshs St Elizabeth's Hospital
Acute Care Hospitals · O Fallon, ILSt Joseph's Hospital
Critical Access Hospitals · Highland, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
O FALLON, IL 62269
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 Dana Baugher's NPI number?
The NPI number for Dana Baugher is 1497268965. It was assigned to this individual provider in the NPPES registry on November 7, 2017.
Where is Dana Baugher located?
Dana Baugher practices at Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269. The listed phone number is (618) 233-6044.
What is Dana Baugher's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dana Baugher enrolled in Medicare?
Yes. Dana Baugher 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 Dana Baugher accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Dana Baugher 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 Dana Baugher affiliated with any hospitals?
According to CMS data, Dana Baugher is affiliated with St Josephs Hospital, Hshs St Elizabeth's Hospital and St Joseph's Hospital.
When was this NPI record last updated?
The NPPES record for Dana Baugher was last updated on December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
