KATIE JEANNE BALDWIN
NPI 1780537050
Nurse Practitioner - Psychiatric/Mental Health in Appleton, WI

Active since February 17, 2026PECOS Enrolled
17 PARK PL STE 400, APPLETON, WI 54914(920) 574-3096 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katie Jeanne Baldwin NPPES

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

KATIE JEANNE BALDWIN (NPI 1780537050) is an individual psychiatric/mental health provider in Appleton, Wisconsin, licensed in Wisconsin (18052-33) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780537050
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATIE JEANNE BALDWIN
Location Address17 PARK PL STE 400Appleton, WI 54914-8271
Mailing Address17 Park Pl Ste 400Appleton, WI 54914-8271 · (920) 574-3096
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 17, 2026
Last NPPES UpdateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1780537050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 18052-33
17 PARK PL STE 400, Appleton, WI 54914

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Jeanne Baldwin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406339647
PECOS Enrollment IDI20260316001667
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 Katie Baldwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
10012 W. CAPITOL DR. #101
Wauwatosa, WI 53222
  • Reassigned Medicare billing, Wisconsin enrollment
  • 26 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54914 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 2

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

Counselor (Addiction (Substance Use Disorder))
17 PARK PL STE 400
APPLETON, WI 54914
Social Worker
17 PARK PL STE 400
APPLETON, WI 54914

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 Katie Baldwin's NPI number?

The NPI number for Katie Baldwin is 1780537050. It was assigned to this individual provider in the NPPES registry on February 17, 2026.

Where is Katie Baldwin located?

Katie Baldwin practices at 17 Park Pl Ste 400, Appleton, WI 54914. The listed phone number is (920) 574-3096.

What is Katie Baldwin's specialty?

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

Is Katie Baldwin enrolled in Medicare?

Yes. Katie Baldwin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katie Baldwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Baldwin reassigns Medicare benefits to West Grove Clinic, Sc (Wauwatosa, WI). 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 Katie Baldwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Baldwin accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health, Quartz and UnitedHealthcare list Katie Baldwin 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 Katie Baldwin was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.