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NICOLE MARIE BALDENEGRO FNP
NPI 1679081871
Nurse Practitioner - Family in Douglas, AZ

Active since January 22, 2018PECOS EnrolledAccepts Medicare Assignment
1100 N F AVE, DOUGLAS, AZ 85607(520) 364-3285(520) 364-4261 Get Directions Write a Review

NPPES record last updated: February 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Marie Baldenegro Fnp NPPES

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

NICOLE MARIE BALDENEGRO FNP (NPI 1679081871) is an individual family provider in Douglas, Arizona, licensed in Arizona (270094) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679081871
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE MARIE BALDENEGROCredential: FNP
Location Address1100 N F AVEDouglas, AZ 85607-1919
Mailing Address1205 N F AveDouglas, AZ 85607-1920 · (520) 364-6882 · Fax (520) 364-4261
Phone(520) 364-3285
Fax(520) 364-4261
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 22, 2018
Last NPPES UpdateFebruary 5, 2022
NPPES CertifiedFebruary 5, 2022
✔ NPI 1679081871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 270094
Also ListedRegistered NurseTaxonomy 163W00000X · License RN200817 (AZ)
1100 N F AVE, Douglas, AZ 85607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, UnitedHealthcare.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

Nicole Marie Baldenegro 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.

PECOS PAC ID5799178992
PECOS Enrollment IDI20220211000506
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Baldenegro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Copper Queen Medical Associates Douglas
16 mi
Clinic/Center
100 E 5TH ST
Douglas, AZ 85607
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Bisbee Hospital Association
  • 128 clinicians in this Medicare group
NPI 1942217088 (520) 364-7659

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85607 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.

Other Providers at the Same Location NPPES 12

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

JAZMINE AGLAE MORALES LMSW
Social Worker
1100 N F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
LILIA LARA
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
LARRY CORRALES
Counselor (Professional)
1100 N F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
PAULINA MORENO GUILLEN RD
Dietitian, Registered
1100 N F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
JESSICA LYNN CREWSE FNP
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
DR. GUSTAVO DURAZO JR. DNP
Nurse Practitioner (Primary Care)
1100 N F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
SOUTH EASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.
Community/Behavioral Health
1100 N F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3630
MRS. KARINA CELESTE BECHTOLD FNP
Nurse Practitioner (Family)
1100 N F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285

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 Nicole Baldenegro's NPI number?

The NPI number for Nicole Baldenegro is 1679081871. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Nicole Baldenegro located?

Nicole Baldenegro practices at 1100 N F Ave, Douglas, AZ 85607. The listed phone number is (520) 364-3285.

What is Nicole Baldenegro's specialty?

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

Is Nicole Baldenegro enrolled in Medicare?

Yes. Nicole Baldenegro 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 Nicole Baldenegro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Baldenegro reassigns Medicare benefits to Copper Queen Medical Associates Douglas (Douglas, AZ). 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 Nicole Baldenegro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Baldenegro accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Nicole Baldenegro 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 Nicole Baldenegro was last updated on February 5, 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.