Kimberly A Baldwin, APN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

277000782 Issued in IL

Practice address

210 Liberty Blvd
Machesney Park, IL 61115-2384

Phone

(815) 520-1541

NPI assigned

Sep 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kimberly A Mattei Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Better Me Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Machesney Park, IL
  • NPI 1255099867
  Medicare reassignment NPD Authorized official
• Julie Logan Counseling, Inc

  • Clinical Social Worker
  • Cherry Valley, IL
  • NPI 1255057220
  NPD
• Montes Psychiatric Center, P.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1629694278
  NPD
• Perfect Health Always on Call, LLC

  • Urgent Care Clinic/Center
  • Evans, GA
  • NPI 1457797938
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1447686241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LIBERTY BLVD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152384",
            "telephone_number": "815-520-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LIBERTY BLVD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152384",
            "telephone_number": "815-520-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6090 Strathmoor Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611075200",
            "country_code": "US",
            "telephone_number": "815-444-9999",
            "fax_number": "815-986-1363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209010699",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "209.010699",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "277000782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksanchez@loganhh.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Logan Health & Healing Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5844 Elaine Dr Ste B",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611082495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MATTEI",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandria Andrews
• Kamya D Andrews
• Jory Angel Angileri, PHARMD
• Apria Healthcare LLC
• Bushrah Bakhsh, PHARM D
• Christine Barrientes
• Julie K Barthels, LCSW
• Philip Sudchart Benjakul, MD
• John D Benton, LCSW
• Best Family Care, Inc.

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Machesney Park, IL
• Providers in Machesney Park, IL by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.