Individual provider Active NPI

Ryan Patrick Baxter Sr., MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Kingstown, RI
National Provider Identifier
1457769721
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN01147 Issued in RI
Practice address
1130 Ten Rod Rd Ste D-101
North Kingstown, RI 02852-4161
Phone
(401) 267-4485
Fax
(401) 267-4534
NPI assigned
Jul 30, 2014
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN01147 RI Primary

Addresses

Primary practice location

1130 Ten Rod Rd Ste D-101
North Kingstown, RI 02852-4161

Mailing address

PO Box 949
North Kingstown, RI 02852-0610
Phone (401) 267-4485

Other identifiers 1

IdentifierTypeStateIssuer
1972975845MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20210105001059 RI Practitioner - Nurse Practitioner 7315231529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baxter Behavioral Health, LLCGroup PAC ID 0446663801, 5 clinicians

Practice addresses (Care Compare)

1130 Ten Rod Rd
Suite 101
North Kingstown, RI 02852-4161
Phone (401) 267-4485

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Behavioral Health LLC Single Specialty CurrentSince Mar 20, 2015 Accepting new patients

Locations

5835 Post Rd
Ste 217
East Greenwich, RI 02818
Phone (401) 267-4485

1130 Ten Rod Rd
Bldg D
North Kingstown, RI 02852
Phone (401) 267-4485

1130 Ten Rod Rd
Ste D101
North Kingstown, RI 02852
Phone (401) 267-4485

1130 Ten Rod Rd
Ste D102
North Kingstown, RI 02852
Phone (401) 267-4485

Interoperability endpoints

  • Direct secure messaging: ryan@baxterbehavioralhealth.kareodirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1457769721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028520610",
            "telephone_number": "401-267-4485",
            "fax_number": "401-267-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE D-101",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524161",
            "telephone_number": "401-267-4485",
            "fax_number": "401-267-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN01147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972975845",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.