Active NPI
Jessica Rose Baldwin, NP
- Ambulatory Women's Health Care Registered Nurse
- Portage, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 28230582A
- Practice address
- 6050 Sterling Creek Rd
Portage, IN 46368-7752 - Phone
- (219) 763-8112
- NPI assigned
- Aug 13, 2021
- Last updated
- May 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011563A | IN | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 28230582A | IN | Primary |
Addresses
Primary practice location
6050 Sterling Creek Rd
Portage, IN 46368-7752
Mailing address
6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone (219) 983-2926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 45TH Ave
Suite 205
Munster, IN 46321-3927
Phone (219) 934-9396
3235 Vollmer Rd
Suite 120
Flossmoor, IL 60422-2040
Phone (708) 747-6900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28230582A | IN | MD | Ambulatory Women's Health Care Registered Nurse |
| 71011563A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Family | Current | Accepting new patients |
| Arthur H. Katz, M.D., S.C. | Current | Accepting new patients |
Locations
3235 Vollmer Rd
Ste 120
Flossmoor, IL 60422
Phone (708) 747-6900
333 W 89th Ave
Ste W1
Merrillville, IN 46410
Phone (219) 755-4448
1950 45th St
Ste 205
Munster, IN 46321
Phone (219) 662-2279
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- https://api.platform.athenahealth.com/989/brand/2/csg/42/fhir/r4
- jessica.baldwin.1@989.direct.athenahealth.com
- jessica.baldwin.p1@direct.northshorehealth.nextgenshare.com
Organizations & group practices 4
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Munster, IN
- NPI 1598832750
IL
-
dba NorthShore Regional Health Centers
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Portage, IN
- NPI 1407061336
Family
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1043985880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6050 STERLING CREEK RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463687752",
"telephone_number": "219-983-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 STERLING CREEK RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463687752",
"telephone_number": "219-763-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "JESSICA",
"middle_name": "ROSE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011563A",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "IN",
"license": "28230582A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.