Ian Lloyd Ruiz Baccay, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

295726 Issued in AZ

Practice address

5263 S Highway 95 , Fort Mohave, Az 86426
Fort Mohave, AZ 86426-9223

Phone

(928) 704-6400

NPI assigned

Jul 31, 2023

Last updated

Jun 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guam Healthcare Development IncorporatedGroup PAC ID 9234351776, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guam Regional Medical City Hospital, Dededo, GU, CCN 650003

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Guam Healthcare Development Incorporated

  dba GRMC Specialty Care Center

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment Care Compare group NPD

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

• Guam Healthcare Development Incorporated

  dba Guam Regional Medical City

  • General Acute Care Hospital
  • Dededo, GU
  • NPI 1194159525
  Care Compare affiliation

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1093496069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S BERNARD PL",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864265388",
            "telephone_number": "928-299-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 S HIGHWAY 95 , FORT MOHAVE, AZ 86426",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269223",
            "telephone_number": "928-704-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCAY",
        "first_name": "IAN LLOYD",
        "middle_name": "RUIZ",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "295726",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "100460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amigos Orthotics & Prosthetics Inc.
• Arizona CVS Stores, L.L.C. (CVS Pharmacy #09309)
• Arizona Physician Services LLC
• Assisted Living Locators - Transportation
• Assisted Living Locators-Transportation
• Patrick L Ballou, PA-C
• Rose Marie Bard-Jensen, NP
• Kayla Barnett, PA-C
• Alan Joseph Barton, MD
• Hylie Elaine Barton, BCBA

• Nurse Practitioner in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.

Verify at the official NPI Registry.