MICHAEL ROY BALDWIN CRNA
NPI 1629176169
Nurse Anesthetist, Certified Registered in Plymouth, IN
About Michael Roy Baldwin Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL ROY BALDWIN CRNA (NPI 1629176169) is an individual nurse anesthetist, certified registered in Plymouth, Indiana, licensed in Indiana (28077464A) and active in the NPI registry since September 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Roy Baldwin Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Baldwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Irving, TX 75038
- Reassigned Medicare billing, Indiana enrollment
- 83 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.
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 Michael Baldwin's NPI number?
The NPI number for Michael Baldwin is 1629176169. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Michael Baldwin located?
Michael Baldwin practices at 315 Eastwood Dr, Plymouth, IN 46563. The listed phone number is (574) 361-5857.
What is Michael Baldwin's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Michael Baldwin enrolled in Medicare?
Yes. Michael Baldwin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Baldwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Baldwin reassigns Medicare benefits to Northstar Anesthesia Of Indiana II, LLC (Irving, TX). 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 Michael Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michael Baldwin was last updated on August 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Michael Roy Baldwin, CRNA · NPI 1629176169
Nurse Anesthetist, Certified Registered physician in Plymouth, Indiana. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1629176169 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 28077464A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 EASTWOOD DR, Plymouth, IN 46563-7950
- **Phone:** (574) 361-5857
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Northstar Anesthesia Of Indiana II, LLC (NPI 1629475421, Irving, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2013
- **Other identifiers:** Medicaid 200373090 (IN); Medicare PIN P00468258 (IN); Other 000000519814 (IN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629176169) · Data from the CMS NPPES public registry.