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MR. NATHAN LYNN BAUGHMAN NP
NPI 1811455934
Nurse Practitioner - Family in Unionville, MO

Active since March 07, 2019PECOS EnrolledAccepts Medicare Assignment
1926 OAK ST, UNIONVILLE, MO 63565(660) 947-2411(660) 947-7024 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Nathan Lynn Baughman Np NPPES

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

MR. NATHAN LYNN BAUGHMAN NP (NPI 1811455934) is an individual family provider in Unionville, Missouri, licensed in Missouri (2019007619) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Wayne County Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1811455934
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. NATHAN LYNN BAUGHMANCredential: NP
Location Address1926 OAK STUnionville, MO 63565-1180
Mailing Address1926 Oak StUnionville, MO 63565-1180 · (660) 947-2411 · Fax (660) 947-7024
Phone(660) 947-2411
Fax(660) 947-7024
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 7, 2019
✔ NPI 1811455934 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
License✔ Licensed in MO · 2019007619
1926 OAK ST, Unionville, MO 63565
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mr. Nathan Lynn Baughman Np 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 ID547522021
PECOS Enrollment IDI20260319000282
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 Reassignments

2

Medicare enrollment records show Nathan Baughman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Putnam County Memorial Hospital
Same address
Medicare Defined Swing Bed Unit
1926 OAK ST
Unionville, MO 63565
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1609870195 (Missouri)
NPI 1861610255 (660) 947-2411
Wayne County Hospital
15 mi
Rural Health
515 W WALL ST
Seymour, IA 52590
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1174599468 (Iowa)
  • 61 clinicians in this Medicare group
NPI 1780873919 (641) 898-2898

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

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wayne County Hospital

Critical Access Hospitals · Corydon, IA
OwnershipGovernment - Local
CMS Certification Number161358
Location417 South East StreetCorydon, IA 50060 · Wayne County
Emergency services

Putnam County Memorial Hospital

Critical Access Hospitals · Unionville, MO
OwnershipGovernment - Local
CMS Certification Number261305
Location1926 Oak Street, PO Box 389Unionville, MO 63565 · Putnam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63565 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

DAVID WILLIAM SINNWELL
Pharmacist
1926 OAK ST
UNIONVILLE, MO 63565
Putnam County (660) 947-2411
PUTNAM COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
1926 OAK ST
UNIONVILLE, MO 63565
Putnam County (660) 947-2425
MIDWEST PHYSICAL THERAPY, PC
Physical Therapist
1926 OAK ST
UNIONVILLE, MO 63565
Putnam County (877) 870-4976
ADAM ROBINSON
Physical Therapy Assistant
1926 OAK ST
UNIONVILLE, MO 63565
Putnam County (660) 947-7919
DEBORAH K WARDLOW APRN
Nurse Practitioner (Family)
1926 OAK ST
UNIONVILLE, MO 63565
Putnam County (660) 947-2411
BRANDON ESCHENBACH DPT
Physical Therapist
1926 OAK ST
UNIONVILLE, MO 63565
Putnam County (660) 947-7919
MAURICE J WARNER PHARMACIST
Pharmacist
1926 OAK ST
UNIONVILLE, MO 63565
Putnam County (660) 947-2411
WILLIAM S CASADY D.O.
Family Medicine
1926 OAK ST
UNIONVILLE, MO 63565
Putnam County (660) 947-2425

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 Nathan Baughman's NPI number?

The NPI number for Nathan Baughman is 1811455934. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Where is Nathan Baughman located?

Nathan Baughman practices at 1926 Oak St, Unionville, MO 63565. The listed phone number is (660) 947-2411.

What is Nathan Baughman's specialty?

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

Is Nathan Baughman enrolled in Medicare?

Yes. Nathan 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.

Which organizations bill Medicare for Nathan Baughman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Baughman reassigns Medicare benefits to 2 organizations: Putnam County Memorial Hospital (Unionville, MO) and Wayne County Hospital (Seymour, IA). Each 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 Nathan Baughman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Baughman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 2 other insurers list Nathan 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 Nathan Baughman affiliated with any hospitals?

According to CMS data, Nathan Baughman is affiliated with Wayne County Hospital and Putnam County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Baughman was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.