Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KARIN BAUGHMAN PMHNP
NPI 1811340268
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Active since July 21, 2016PECOS Enrolled
4245 FOREST PARK AVE, SAINT LOUIS, MO 63108(314) 286-4545(314) 286-4542 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Mar 13, 2019 (2 updates tracked since 2019).

About Karin Baughman Pmhnp NPPES

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

KARIN BAUGHMAN PMHNP (NPI 1811340268) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Missouri (2016025000) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Freeman Health System - Freeman West, and is a graduate of University Of Missouri, Columbia School Of Medicine (1988).

NPPES Registry Identity

NPI1811340268
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKARIN BAUGHMANCredential: PMHNP
Location Address4245 FOREST PARK AVESaint Louis, MO 63108-2810
Mailing Address4245 Forest Park AveSaint Louis, MO 63108-2810 · (314) 286-4545 · Fax (314) 286-4542
Fax(314) 286-4542
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1988
Enumeration DateJuly 21, 2016
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
NPI 1811340268 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 MO · 2016025000
4245 FOREST PARK AVE, Saint Louis, MO 63108

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

Karin Baughman 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 ID1557656816
PECOS Enrollment IDI20160825000756
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 2

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.
225 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services38 patients

Hospital Affiliations CMS Care Compare

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

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 5

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

Community/Behavioral Health
4245 FOREST PARK AVE
SAINT LOUIS, MO 63108
Community/Behavioral Health
4245 FOREST PARK AVE
SAINT LOUIS, MO 63108
Counselor (Professional)
4245 FOREST PARK AVE
SAINT LOUIS, MO 63108
Clinic/Center (Adult Mental Health)
4245 FOREST PARK AVE
SAINT LOUIS, MO 63108
Social Worker (Clinical)
4245 FOREST PARK AVE
SAINT LOUIS, MO 63108

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 Karin Baughman's NPI number?

The NPI number for Karin Baughman is 1811340268. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Karin Baughman located?

Karin Baughman practices at 4245 Forest Park Ave, Saint Louis, MO 63108. The listed phone number is (314) 286-4545.

What is Karin Baughman's specialty?

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

Is Karin Baughman enrolled in Medicare?

Yes. Karin Baughman 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 Karin Baughman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Karin 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.

Is Karin Baughman affiliated with any hospitals?

According to CMS data, Karin Baughman is affiliated with Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for Karin Baughman was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.