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MAX A BAIER NP
NPI 1972589919
Nurse Practitioner in West Frankfort, IL

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
2553 KEN GRAY BLVD, WEST FRANKFORT, IL 62896(618) 932-3937(618) 932-2734 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 20, 2021, Feb 13, 2020 (2 updates tracked since 2020).

About Max A Baier Np NPPES

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

MAX A BAIER NP (NPI 1972589919) is an individual nurse practitioner in West Frankfort, Illinois, licensed in Illinois (209004084) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1972589919
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMAX A BAIERCredential: NP
Location Address2553 KEN GRAY BLVDWest Frankfort, IL 62896-4174
Mailing Address300 W Oak StCarbondale, IL 62901-1400 · (618) 932-3937
Phone(618) 932-3937
Fax(618) 932-2734
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateDecember 21, 2005
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
✔ NPI 1972589919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209004084
Definition
(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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085-000253 (IL)
2553 KEN GRAY BLVD, West Frankfort, IL 62896
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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

Max A Baier 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 ID3173805058
PECOS Enrollment IDI20170130001618
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

3

Medicare enrollment records show Max Baier reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Hospital Services
Same address
Family Medicine
2553 KEN GRAY BLVD
West Frankfort, IL 62896
  • Reassigned Medicare billing, Illinois enrollment
  • 27 clinicians in this Medicare group
NPI 1154408581 (618) 932-3937
Premise Health Of Illinois Medical PC
29 mi
Primary Care
5100 LAKE TERRANCE NE
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1427366921 (618) 899-5001
Siu Physicians & Surgeons, Inc
137 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000

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

Hospital Affiliations CMS Care Compare

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62896 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

SOUTHERN ILLINOIS HOSPITAL SERVICES
Family Medicine
2553 KEN GRAY BLVD
WEST FRANKFORT, IL 62896
Franklin County (618) 932-3937
ALICIA D MARKLEY PA-C
Physician Assistant
2553 KEN GRAY BLVD
WEST FRANKFORT, IL 62896
Franklin County (618) 932-3937
SOUTHERN ILLINOIS HOSPITAL SERVICES
Clinical Medical Laboratory
2553 KEN GRAY BLVD
WEST FRANKFORT, IL 62896
Franklin County (618) 932-2155

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 Max Baier's NPI number?

The NPI number for Max Baier is 1972589919. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Max Baier located?

Max Baier practices at 2553 Ken Gray Blvd, West Frankfort, IL 62896. The listed phone number is (618) 932-3937.

What is Max Baier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Max Baier enrolled in Medicare?

Yes. Max Baier 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 Max Baier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Max Baier reassigns Medicare benefits to 3 organizations: Southern Illinois Hospital Services (West Frankfort, IL), Premise Health Of Illinois Medical PC (Mount Vernon, IL) and Siu Physicians & Surgeons, Inc (Springfield, IL). 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 Max Baier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Max Baier affiliated with any hospitals?

According to CMS data, Max Baier is affiliated with Herrin Hospital.

When was this NPI record last updated?

The NPPES record for Max Baier was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.