Active NPI
Brandy L. Baccus, APRN
- Critical Care Medicine Nurse Practitioner
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- 217192
- Practice address
- 9601 Baptist Health Dr
Little Rock, AR 72205-6321 - Phone
- (501) 202-2000
- NPI assigned
- Sep 2, 2021
- Last updated
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 217192 | AR | Primary |
Addresses
Primary practice location
9601 Baptist Health Dr
Little Rock, AR 72205-6321
Mailing address
102 Shady Grove LN
Sherwood, AR 72120-3112
Phone (501) 766-1135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9601 Baptist Health Dr
Suite 900
Little Rock, AR 72205-6331
Phone (501) 224-1135
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970
9601 Baptist Health Dr
Ste 900
Little Rock, AR 72205
Phone (501) 224-1135
Organizations & group practices 3
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.
-
dba Baptist Health - Vascular Surgery - Little Rock
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Little Rock, AR
- NPI 1598031882
-
dba Baptist Health Family Clinic - Salem Road
- Family Medicine Physician
- Conway, AR
- NPI 1831888536
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Medical Center-Little Rock
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1336817402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 SHADY GROVE LN",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721203112",
"telephone_number": "501-766-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 BAPTIST HEALTH DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056321",
"telephone_number": "501-202-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACCUS",
"first_name": "BRANDY",
"middle_name": "L.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "AR",
"license": "217192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.