Individual provider Active NPI

Brendon Duane Baerg, FNP

  • Family Nurse Practitioner
  • Cave Creek, AZ
National Provider Identifier
1235681925
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9031 Issued in AZ
Practice address
4705 E Carefree Hwy Ste 106
Cave Creek, AZ 85331-4742
Phone
(480) 575-1142
Fax
(480) 575-6781
NPI assigned
Oct 27, 2016
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9031 AZ Primary

Addresses

Primary practice location

4705 E Carefree Hwy Ste 106
Cave Creek, AZ 85331-4742

Mailing address

4705 E Carefree Hwy Ste 106
Cave Creek, AZ 85331-4742
Phone (480) 575-1142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20170419000695 AZ Practitioner - Nurse Practitioner 3779869615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4705 E Carefree Hwy
Suite 106
Cave Creek, AZ 85331-4742
Phone (480) 575-1142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Da Vinci Health Services, LLC CurrentSince Feb 18, 2017 Accepting new patients

Locations

4705 E Carefree Hwy
Ste 106
Cave Creek, AZ 85331
Phone (480) 575-1142

515 E Carefree Hwy
Phoenix, AZ 85085
Phone (602) 218-5112

Interoperability endpoints

  • Direct secure messaging: brendon.baerg.1@15208.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15208/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1235681925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 E CAREFREE HWY STE 106",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314742",
            "telephone_number": "480-575-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 E CAREFREE HWY STE 106",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314742",
            "telephone_number": "480-575-1142",
            "fax_number": "480-575-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERG",
        "first_name": "BRENDON",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-27",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

Verify at the official NPI Registry.