Individual provider Active NPI

Melanie Paige Baucom, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1043519630
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-107255 Issued in AL
Practice address
Uab Hospital 619 19TH St S
NP, Emergency Department
Birmingham, AL 35249-0001
Phone
(205) 996-5111
NPI assigned
Mar 22, 2011
Last updated
Sep 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-107255 AL
Family Nurse Practitioner 363LF0000X 1-107255 AL Primary

Addresses

Primary practice location

Uab Hospital 619 19TH St S
NP, Emergency Department
Birmingham, AL 35249-0001

Mailing address

Uab Hospital 619 19TH St S
NP, Emergency Department
Birmingham, AL 35249-0001
Phone (205) 996-5111

Other identifiers 1

IdentifierTypeStateIssuer
129861MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200128002528 AL Practitioner - Nurse Practitioner 3072790922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince May 1, 2025 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama at Birmingham CurrentSince May 1, 2025 Accepting new patients

Locations

2201 Arlington Ave
Bessemer, AL 35020
Phone (205) 277-6878

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

908 20th St S
Birmingham, AL 35205
Phone (205) 934-4108

Interoperability endpoints

  • Direct secure messaging: mbaucom@direct.uabmedicine.org

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1043519630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UAB HOSPITAL 619 19TH ST S",
            "address_2": "NP, EMERGENCY DEPARTMENT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352490001",
            "telephone_number": "205-996-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UAB HOSPITAL 619 19TH ST S",
            "address_2": "NP, EMERGENCY DEPARTMENT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352490001",
            "telephone_number": "205-996-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCOM",
        "first_name": "MELANIE",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-107255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-107255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129861",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.