Brendon Duane Baerg, FNP

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

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Da Vinci Health Services, LLC

  • Health Service Clinic/Center
  • Cave Creek, AZ
  • NPI 1619410750

  AZ

  Medicare reassignment NPD Authorized official

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2023.

{
    "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": []
}

• Kristen Kathleen Ash, RN
• Attune Integrative Medicine
• Tatyana Aurigemma
• Az Center for Speech and Swallowing
• B. C. Medical Group PLC
• Stevanie Bahnerth, D.C.
• Alice Baker, MSRD LMHC LPC LDN
• Heather Kirsten Ballard, DVM
• Mark A Ballard, M.D.
• Kellie Band, DBH, BCBA, LBA

• All providers in Cave Creek, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.