Individual provider Active NPI

Francisco Xavier Baeza, APRN

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1376257097
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1103027 Issued in TX
Practice address
315 Golder Ave
Odessa, TX 79761-5043
Phone
(432) 640-2524
Fax
(432) 640-4773
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 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 1103027 TX Primary

Addresses

Primary practice location

315 Golder Ave
Odessa, TX 79761-5043

Mailing address

315 Golder Ave
Odessa, TX 79761-5043
Phone (432) 640-2524

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL fxb@txstate.edu Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230227002994 TX Practitioner - Nurse Practitioner 4284007949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCH Professional CareGroup PAC ID 1658358635, 51 clinicians

Practice addresses (Care Compare)

500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-2408

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.78 of 100Reported as group
Quality
60.9
Promoting interoperability
100
Improvement activities
40
Cost
66.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1103027TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District CurrentSince Jan 1, 2023 Accepting new patients
Ector County Hospital District CurrentSince Jan 1, 2023 Accepting new patients
MCH Professional Care CurrentSince Jan 1, 2023 Accepting new patients

Locations

3001 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone (432) 640-6700

315 Golder Ave
Odessa, TX 79761
Phone (432) 337-5411

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

540 W 5th St
Ste 350
Odessa, TX 79761
Phone (432) 332-7500

6030 W University Blvd
Odessa, TX 79764
Phone (432) 640-6600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1376257097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GOLDER AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615043",
            "telephone_number": "432-640-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GOLDER AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615043",
            "telephone_number": "432-640-2524",
            "fax_number": "432-640-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZA",
        "first_name": "FRANCISCO",
        "middle_name": "XAVIER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1103027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fxb@txstate.edu",
            "affiliation": "N",
            "endpointDescription": "business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "315 Golder Ave",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797615043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.