Individual provider Active NPI

Amy Rebecca Baez

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1245625011
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09229 Issued in NC
Practice address
2150 Shipyard Blvd
Wilmington, NC 28403-8052
Phone
(910) 662-9300
Fax
(910) 662-9400
NPI assigned
Mar 30, 2015
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0010-09229 NC Primary
Physician Assistant 363A00000X 017846-1 NY

Addresses

Primary practice location

2150 Shipyard Blvd
Wilmington, NC 28403-8052

Mailing address

PO Box 604136
Charlotte, NC 28260-4136

Other practice location 1

1905 Glen Meade Rd
Wilmington, NC 28403-6024
Phone (910) 763-6251

Other practice location 2

1825 Eastchester Rd
Bronx, NY 10461-2301
Phone (718) 904-3433

Other practice location 3

1809 Glen Meade Rd
Wilmington, NC 28403-6022
Phone (910) 763-9833

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scheduler@uasenc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190911003204 NC Practitioner - Physician Assistant 2567714876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2150 Shipyard Blvd
Wilmington, NC 28403-8052
Phone (910) 662-9480

800 Jefferson St
Suite 112
Whiteville, NC 28472-3702
Phone (910) 662-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017846-1NYMDOrthopedic Physical Therapist
0010-09229NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Jan 1, 2022 Accepting new patients
NMG Health Services LLC CurrentSince Jan 1, 2022 Accepting new patients
Urology Associates of Southeastern North Carolina, PA CurrentSince Sep 5, 2021 Accepting new patients

Locations

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1809 Glen Meade Rd
Wilmington, NC 28403
Phone (910) 763-9833

1905 Glen Meade Rd
Wilmington, NC 28403
Phone (910) 762-3547

2150 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 662-9300

Interoperability endpoints

  • Direct secure messaging: abaez1335707@direct.novanthealth.org

Organizations & group practices 5

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1245625011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604136",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038052",
            "telephone_number": "910-662-9300",
            "fax_number": "910-662-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Glen Meade Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036024",
            "country_code": "US",
            "telephone_number": "910-763-6251",
            "fax_number": "910-763-7408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Eastchester Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104612301",
            "country_code": "US",
            "telephone_number": "718-904-3433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1809 Glen Meade Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036022",
            "country_code": "US",
            "telephone_number": "910-763-9833",
            "fax_number": "910-763-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "AMY",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09229",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017846-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scheduler@uasenc.com",
            "affiliation": "N",
            "address_1": "1905 Glen Meade Rd",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284036024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.