HEATHER BAUGH PMHNP
NPI 1649653668
Nurse Practitioner - Psychiatric/Mental Health in Glendale, AZ

Active since July 08, 2015PECOS EnrolledAccepts Medicare Assignment
86.33/100
CMS Quality Rating
6677 W THUNDERBIRD RD STE I164, GLENDALE, AZ 85306(623) 878-2100(623) 776-9419 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, Mar 3, 2016 (2 updates tracked since 2016).

About Heather Baugh Pmhnp NPPES

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

HEATHER BAUGH PMHNP (NPI 1649653668) is an individual psychiatric/mental health provider in Glendale, Arizona, licensed in Arizona (AP7930) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1649653668
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEATHER BAUGHCredential: PMHNP
Location Address6677 W THUNDERBIRD RD STE I164Glendale, AZ 85306-3762
Mailing Address6677 W Thunderbird Rd Ste I164Glendale, AZ 85306-3762 · (623) 878-2100 · Fax (623) 776-9419
Fax(623) 776-9419
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 8, 2015
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1649653668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AZ · AP7930
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP7930 (AZ)
6677 W THUNDERBIRD RD STE I164, Glendale, AZ 85306

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

Heather Baugh Pmhnp 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 ID2860701513
PECOS Enrollment IDI20151020000123
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 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.
221 services42 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
127 services35 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.
59 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

86.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.84
Promoting Interoperability99
Improvement Activities40
Cost53.11

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Psychiatric/Mental Health)
6677 W THUNDERBIRD RD STE I164
GLENDALE, AZ 85306
Nurse Practitioner (Psychiatric/Mental Health)
6677 W THUNDERBIRD RD STE I164
GLENDALE, AZ 85306
Registered Nurse (Medical-Surgical)
6677 W THUNDERBIRD RD STE I164
GLENDALE, AZ 85306
Nurse Practitioner (Psychiatric/Mental Health)
6677 W THUNDERBIRD RD STE I164
GLENDALE, AZ 85306
Psychiatry & Neurology (Psychiatry)
6677 W THUNDERBIRD RD STE I164
GLENDALE, AZ 85306
Preventive Medicine (Addiction Medicine)
6677 W THUNDERBIRD RD STE I164
GLENDALE, AZ 85306
Psychiatry & Neurology (Psychiatry)
6677 W THUNDERBIRD RD STE I164
GLENDALE, AZ 85306
Psychiatry & Neurology (Psychiatry)
6677 W THUNDERBIRD RD STE I164
GLENDALE, AZ 85306

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 Heather Baugh's NPI number?

The NPI number for Heather Baugh is 1649653668. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Where is Heather Baugh located?

Heather Baugh practices at 6677 W Thunderbird Rd Ste I164, Glendale, AZ 85306. The listed phone number is (623) 878-2100.

What is Heather Baugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heather Baugh enrolled in Medicare?

Yes. Heather Baugh 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 Heather Baugh accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Heather Baugh 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.

When was this NPI record last updated?

The NPPES record for Heather Baugh was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.