Jessica Rose Baldwin, NP
Individual provider Active NPI Ambulatory Women's Health Care Registered Nurse · Portage, IN
NPI 1043985880 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1043985880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Women's Health Care Registered Nurse 163WW0101X
- License
- 28230582A (IN)
- Practice address
- 6050 Sterling Creek Rd
Portage, IN 46368-7752 - Phone
- (219) 763-8112
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arthur H. Katz, M.D., S.C.
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
- Franciscan Health Olympia & Chicago Heights
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311000398 | IN | Practitioner - Nurse Practitioner | 9638515802 | Reassigns benefits to 2 organizations |
| I20250509001884 | IL | Practitioner - Nurse Practitioner | 9638515802 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011563A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers, Inc. | Family | Current |
Accepting new patients |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Arthur H. Katz, M.D., S.C. | Current |
Accepting new patients | |
| Northshore Health Centers, Inc. | 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
- jessica.baldwin.1@989.direct.athenahealth.com
- https://api.platform.athenahealth.com/989/brand/2/csg/42/fhir/r4
- jessica.baldwin.p1@direct.northshorehealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011563A | IN | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 28230582A | IN | Yes |
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
Other providers in Portage, IN
- Azmot Logistics and Transportation LLC
- Anne Marie Babb
- Aimee S Bachtel
- Adrienne Baksinski
- Anthony Michael Balbosa
- Melissa E Ball
- Cary James Banka
- Baqhar Mohideen MD, PC
- Luis A Barajas
- Danielle Barker
All providers in Portage, IN · Ambulatory Women's Health Care Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.