Individual provider Active NPI

Jessica Rose Baldwin, NP

  • Ambulatory Women's Health Care Registered Nurse
  • Portage, IN
National Provider Identifier
1043985880
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
28230582A Issued in IN
Practice address
6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone
(219) 763-8112
NPI assigned
Aug 13, 2021
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240311000398 IN Practitioner - Nurse Practitioner 9638515802 Reassigns benefits to 2 organizations
I20250509001884 IL Practitioner - Nurse Practitioner 9638515802 Reassigns benefits to 1 organization

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
Arthur H. Katz, M.D., S.C.Group PAC ID 5395746689, 3 clinicians

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

LicenseStateTypeSpecialty
28230582AINMDAmbulatory Women's Health Care Registered Nurse
71011563AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Health Centers Inc Current Accepting new patients
Northshore Health Centers, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Northshore Health Centers, Inc. Family CurrentSince Feb 5, 2024 Accepting new patients
Arthur H. Katz, M.D., S.C. CurrentSince May 1, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/989/brand/2/csg/42/fhir/r4
  • Direct secure messaging: jessica.baldwin.1@989.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.