NPIMap

Individual provider Active NPI

Andrea S. Baldwin, ANP-C

  • Primary Care Nurse Practitioner
  • Nashville, IL
National Provider Identifier
1063800944
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209012315 Issued in IL
Practice address
705 S Grand St
Nashville, IL 62263-1534
Phone
(618) 327-2225
Fax
(618) 327-2229
NPI assigned
Dec 31, 2014
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209012315 IL Primary

Addresses

Primary practice location

705 S Grand St
Nashville, IL 62263-1534

Mailing address

8394 Lebanon Rd
Nashville, IL 62263-5044
Phone (618) 357-1607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150910001735 IL Practitioner - Nurse Practitioner 4284941063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

705 S Grand
Nashville, IL 62263-1534

705 S Grand St
Nashville, IL 62263-1534
Phone (618) 327-8236

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209012315ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Hospital District CurrentSince Mar 18, 2019 Accepting new patients
Washington County Hospital District CurrentSince Mar 18, 2019 Accepting new patients
Washington County Hospital District Past Accepting new patients
Washington County Hospital District Past Accepting new patients

Locations

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

Interoperability endpoints

  • Direct secure messaging: abaldwin311381@direct-ehr-ssmhc.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 6

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": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1063800944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8394 LEBANON RD",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622635044",
            "telephone_number": "618-357-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S GRAND ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631534",
            "telephone_number": "618-327-2225",
            "fax_number": "618-327-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "ANDREA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209012315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, IL

Sources for this page

Verify at the official NPI Registry.