NICOLE A BAISDEN NP NPI 1932629862

Nurse Practitioner in Soquel, CA

NPI 1932629862 Individual Female Years of Experience 4 Nurse Practitioner PECOS Enrolled Accepts Medicare Approved Payment

About NICOLE BAISDEN

Nicole Baisden is a provider established in Soquel, California and her medical specialization is nurse practitioner with more than 4 years of experience. The NPI number of Nicole Baisden is 1932629862 and was assigned on June 2017. The practitioner's primary taxonomy code is 363L00000X with license number 95010228 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

A nurse practitioner (NP) like Nicole A Baisden Np is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Nicole Baisden is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Nicole Baisden is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1932629862

Provider Name NICOLE A BAISDEN NP
Provider Location Address4700 SOQUEL DR SOQUEL, CA 95073
Provider Mailing Address3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT RANCHO CORDOVA, CA 95670
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2018
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-21-2017
Last Update Date04-24-2020


Primary Taxonomy

Taxonomy Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.95010228
License StateCA
Taxonomy Description(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Business Address

NICOLE A BAISDEN NP
4700 SOQUEL DR
SOQUEL, CA
ZIP 95073
Phone: (831) 888-9410
Fax: (831) 477-7795

Get Directions


Mailing Address

NICOLE A BAISDEN NP
3400 DATA DR
ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA
ZIP 95670
Phone:



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine423154OHNo

Taxonomy Description: Not Available

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023663507 ELIZA NICHOLE ANGILA RN, MSN, FNP-C
Individual
Nurse Practitioner (Family)4700 SOQUEL DR
SOQUEL, CA 95073
(831) 888-9410

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.