GAYLA A BAUGHMAN PNP
NPI 1801872098
Nurse Practitioner - Pediatrics in West Des Moines, IA

Active since December 20, 2005PECOS Enrolled
6000 UNIVERSITY AVE, SUITE 100, WEST DES MOINES, IA 50266(515) 241-2500(515) 241-2505 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gayla A Baughman Pnp NPPES

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

GAYLA A BAUGHMAN PNP (NPI 1801872098) is an individual pediatrics provider in West Des Moines, Iowa, licensed in Iowa (C076034) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801872098
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameGAYLA A BAUGHMANCredential: PNP
Location Address6000 UNIVERSITY AVE, SUITE 100West Des Moines, IA 50266-8203
Mailing Address6000 University Ave, Suite 100West Des Moines, IA 50266-8203 · (515) 241-2500 · Fax (515) 241-2505
Fax(515) 241-2505
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateOctober 10, 2007
✔ NPI 1801872098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IA · C076034
6000 UNIVERSITY AVE, West Des Moines, IA 50266

Other Identifiers 2

Medicare ID-Type Unspecified45611IA
Medicare UPINS57431

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)

Gayla A Baughman Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Gayla Baughman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neuromuscular Medicine
12493 UNIVERSITY AVE STE 100
Clive, IA 50325
  • Reassigned Medicare billing, Iowa enrollment
  • 516 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 50266 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 20

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

Obstetrics & Gynecology
6000 UNIVERSITY AVE, SUITE 203
WEST DES MOINES, IA 50266
Nurse Practitioner (Family)
6000 UNIVERSITY AVE
WEST DES MOINES, IA 50266
Psychologist
6000 UNIVERSITY AVE, SUITE 200
WEST DES MOINES, IA 50266
Dermatology
6000 UNIVERSITY AVE, SUITE 350
WEST DES MOINES, IA 50266
Physical Therapist
6000 UNIVERSITY AVE, SUITE 203
WEST DES MOINES, IA 50266
Marriage & Family Therapist
6000 UNIVERSITY AVE, SUITE 200
WEST DES MOINES, IA 50266
Physician Assistant
6000 UNIVERSITY AVE, SUITE 450
WEST DES MOINES, IA 50266
Family Medicine
6000 UNIVERSITY AVE, SUITE 101
WEST DES MOINES, IA 50266

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 Gayla Baughman's NPI number?

The NPI number for Gayla Baughman is 1801872098. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Gayla Baughman located?

Gayla Baughman practices at 6000 University Ave Suite 100, West Des Moines, IA 50266. The listed phone number is (515) 241-2500.

What is Gayla Baughman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Gayla Baughman enrolled in Medicare?

Yes. Gayla Baughman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gayla Baughman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gayla Baughman reassigns Medicare benefits to Mercy Clinics, Inc (Clive, IA). 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 Gayla Baughman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gayla Baughman accept?

Health plans from Oscar Health, Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Gayla Baughman 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 Gayla Baughman was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.