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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for James Baughman was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

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: October 18, 2026.

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

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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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

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.

Medicare Billing Reassignments

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

East Texas Psychiatry And Counseling PLLC

Same address

Psychiatric/Mental Health

100 INDEPENDENCE PL STE 307
Tyler, TX 75703

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1962201855 (430) 288-5800

Beautiful Minds Medical, Inc.

1,516 mi

Psychiatry

13300 NEW AIRPORT RD STE 100
Auburn, CA 95602

Reassigned Medicare billing, California enrollment
15 clinicians in this Medicare group

NPI 1306144837 (530) 889-8780

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 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.

Which organizations bill Medicare for James Baughman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Baughman reassigns Medicare benefits to 2 organizations: East Texas Psychiatry And Counseling PLLC (Tyler, TX) and Beautiful Minds Medical, Inc. (Auburn, CA). 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 James Baughman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Baughman accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.