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TONI ANNE BACA FNP
NPI 1780162032
Nurse Practitioner - Family in Medford, OR

Active since July 30, 2018PECOS EnrolledAccepts Medicare Assignment
70 BOWER DR, MEDFORD, OR 97501(541) 734-3430 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2022, Jul 11, 2022, Jan 23, 2019 and 1 more (4 updates tracked since 2018).

About Toni Anne Baca Fnp NPPES

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

TONI ANNE BACA FNP (NPI 1780162032) is an individual family provider in Medford, Oregon, licensed in Oregon (201806197NP-PP) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1780162032
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI ANNE BACACredential: FNP
Location Address70 BOWER DRMedford, OR 97501-3689
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (541) 734-3430
Phone(541) 734-3430
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 30, 2018
Last NPPES UpdateAugust 29, 20224 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1780162032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OR · 201806197NP-PP✔ Licensed in IL · 209.017695
70 BOWER DR, Medford, OR 97501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1520 Medical Center Dr Ste 201Medford, OR 97504-4334 · Phone (541) 789-5705 · Fax (541) 789-5711

Other Identifiers 1

Medicaid500759907OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Toni Anne Baca 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 ID5092057919
PECOS Enrollment IDI20190425000274
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 11

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 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.
370 services256 patients
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.
63 services60 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
46 services29 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
40 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services30 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380075
Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97501 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 14

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

JENNIFER L DELTOUR MSN-FNP
Nurse Practitioner (Family)
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
DR. AHREN OTTO GEILENFELDT D.O.
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 732-8360
SHIRLEY ANN MALCOLM DO
Family Medicine
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
PROVIDENCE HEALTH & SERVICES - OREGON
Family Medicine
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
SCOTT B ROSS PA-C
Physician Assistant
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
CARRIE LAMBOURNE MS, RDN, CNSC
Dietitian, Registered
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
CARISSA D BRAVO PSYD
Psychologist (Clinical)
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
DR. AARON D WILLIAMS D.O.
Family Medicine (Sports Medicine)
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 732-8790

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 Toni Baca's NPI number?

The NPI number for Toni Baca is 1780162032. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Toni Baca located?

Toni Baca practices at 70 Bower Dr, Medford, OR 97501. The listed phone number is (541) 734-3430.

What is Toni Baca's specialty?

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

Is Toni Baca enrolled in Medicare?

Yes. Toni Baca 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 Toni Baca accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Toni Baca 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 Toni Baca affiliated with any hospitals?

According to CMS data, Toni Baca is affiliated with Asante Three Rivers Medical Center, Asante Rogue Regional Medical Center and Providence Medford Medical Center.

When was this NPI record last updated?

The NPPES record for Toni Baca was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.