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JAMES J BAUGHMAN PMHNP-BC
NPI 1932861580
Nurse Practitioner - Psychiatric/Mental Health in Tyler, TX

Active since October 12, 2021PECOS EnrolledAccepts Medicare Assignment
100 INDEPENDENCE PL STE 307, TYLER, TX 75703(430) 288-5800(800) 797-3780 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2025, Jun 16, 2025, Feb 14, 2022 and 1 more (4 updates tracked since 2021).

About James J Baughman Pmhnp-bc NPPES

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

JAMES J BAUGHMAN PMHNP-BC (NPI 1932861580) is an individual psychiatric/mental health provider in Tyler, Texas, licensed in Texas (1057816) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1932861580
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJAMES J BAUGHMANCredential: PMHNP-BC
Location Address100 INDEPENDENCE PL STE 307Tyler, TX 75703-1328
Mailing Address100 Independence Pl Ste 307Tyler, TX 75703-1328 · (430) 288-5800 · Fax (800) 797-3780
Phone(430) 288-5800
Fax(800) 797-3780
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 12, 2021
Last NPPES UpdateJuly 22, 20254 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1932861580 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 TX · 1057816
100 INDEPENDENCE PL STE 307, Tyler, TX 75703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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

James J Baughman Pmhnp-bc 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 ID42683757
PECOS Enrollment IDI20230228002068, I20231219001519
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 4

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
318 services107 patients
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.
231 services91 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
122 services120 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

KAREN ANN ENGLISH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
100 INDEPENDENCE PL STE 307
TYLER, TX 75703
Smith County (403) 288-5800
ANTONIO LEJAUN BRIGHAM NP
Nurse Practitioner (Psychiatric/Mental Health)
100 INDEPENDENCE PL STE 307
TYLER, TX 75703
Smith County (430) 288-5800
EAST TEXAS PSYCHIATRY AND COUNSELING PLLC
Clinical Nurse Specialist (Psychiatric/Mental Health)
100 INDEPENDENCE PL STE 307
TYLER, TX 75703
Smith County (430) 288-5800

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 James Baughman's NPI number?

The NPI number for James Baughman is 1932861580. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Where is James Baughman located?

James Baughman practices at 100 Independence Pl Ste 307, Tyler, TX 75703. The listed phone number is (430) 288-5800.

What is James Baughman's specialty?

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

Is James Baughman enrolled in Medicare?

Yes. James 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 James Baughman accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list James 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 James Baughman was last updated on July 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.