Active NPI
Anthony Ray Baca, AG-ACNP
- Acute Care Nurse Practitioner
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP127329
- Practice address
- 3901 W 15TH St
Plano, TX 75075-7738 - Phone
- (817) 428-6474
- NPI assigned
- Jan 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP127329 | TX | Primary |
Addresses
Primary practice location
3901 W 15TH St
Plano, TX 75075-7738
Mailing address
7029 Ridge Line Dr
North Richland Hills, TX 76182-7829
Phone (817) 428-6474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150423000095 | TX | Practitioner - Nurse Practitioner | 2668416116 | Reassigns benefits to 4 organizations |
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
- North Texas Critical Care PA
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (214) 821-1599
Hospital & facility affiliations
- Baylor Scott and White All Saints Medical Center
- Baylor University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Pulmonary & Critical Care PA | Acute Care | Current | Accepting new patients |
| North Texas Critical Care PA | Current | Accepting new patients | |
| Urgent Surgery Associates, P.a. | Current | Accepting new patients | |
| Wise Emergency Medicine Associates PA | Current | Accepting new patients |
Locations
3500 Gaston Ave
Dallas, TX 75246
621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303
609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75
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 and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1265863542
TX
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
Acute Care, TX
Hospital & facility affiliations 2
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": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1275923302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7029 RIDGE LINE DR",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761827829",
"telephone_number": "817-428-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 W 15TH ST",
"city": "PLANO",
"state": "TX",
"postal_code": "750757738",
"telephone_number": "817-428-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "ANTHONY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "AG-ACNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP127329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.