Individual provider Active NPI

Susan Hodge-Baley, MSN, FNP-C

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1396406534
Registry record updated Jan 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09220062 Issued in TX
Practice address
1722 9TH St
Wichita Falls, TX 76301-5003
Phone
(940) 322-1075
NPI assigned
Jan 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 629521 TX
Family Nurse Practitioner 363LF0000X F09220062 TX Primary

Addresses

Primary practice location

1722 9TH St
Wichita Falls, TX 76301-5003

Mailing address

1550 Casino Rd
Nocona, TX 76255-0967
Phone (940) 631-1037

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
I20230612001920 TX Practitioner - Nurse Practitioner 9436516101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
629521TXMDGeneral Practice Registered Nurse
F09220062TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Neurology Alliance PLLC CurrentSince Feb 14, 2023 Accepting new patients
Infinite Medical PC CurrentSince Jun 9, 2023 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

1722 9th St
Wichita Falls, TX 76301
Phone (940) 322-1075

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674345600000",
    "number": "1396406534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 CASINO RD",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762550967",
            "telephone_number": "940-631-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 9TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015003",
            "telephone_number": "940-322-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE-BALEY",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "629521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F09220062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.