Stephanie Marie Baxter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003890A Issued in IN

Practice address

230 E Day Rd
Ste 100
Mishawaka, IN 46545-3408

Phone

(574) 271-3939

Fax

(574) 271-3941

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michiana Eye Center LLCGroup PAC ID 3173595634, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

96.76

Improvement activities

40

Cost

74.85

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• IL PPO Downstate
• OH PPO
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
• IL HMO C-SNP
• KY PPO
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• KY PPO C-SNP

Interoperability endpoints

• Direct secure messaging: stephanie.baxter@direct.mecfps.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michiana Eye Center LLC

  • Ophthalmology Physician
  • Mishawaka, IN
  • NPI 1396722070

  Optometrist

  Medicare reassignment Care Compare group NPD
• Michiana Eye Center , LLC

  • Ophthalmology Physician
  • Elkhart, IN
  • NPI 1083907992

  Optometrist

  NPD
• Michiana Eye Center LLC

  • Ophthalmology Physician
  • Goshen, IN
  • NPI 1659670685

  Optometrist

  NPD
• Michiana Eye Center LLC

  • Ophthalmology Physician
  • South Bend, IN
  • NPI 1073671731

  Optometrist

  NPD (past)
• Michiana Eye Center LLC

  • Ophthalmology Physician
  • Plymouth, IN
  • NPI 1316005911

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1003076530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "STE 100",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453408",
            "telephone_number": "574-271-3939",
            "fax_number": "574-271-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "STE 100",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453408",
            "telephone_number": "574-271-3939",
            "fax_number": "574-271-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5793",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003890A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "204460005",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201293730",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2856128",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Barry, DO
• Jack S. Bartoszek, D.O.
• Joseph John Bartush, FNP-BC
• Lauryn Aeriana Baumgartner, RBT
• Kevin Ray Baxter, D.O.
• Hassan Samir Baydoun, PMHNP
• Beacon Health, LLC
• Beacon Medical Group, Inc.
• Beacon Medical Group, Inc.
• Hope Beaird

• Optometrist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.