Bryan M Baca Sr., MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131880 Issued in TX

Practice address

6211 Edgemere Blvd
Suite 1
El Paso, TX 79925-3413

Phone

(915) 881-8264

Fax

(915) 881-8082

NPI assigned

Oct 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bryan.baca.1@1928.direct.athenahealth.com
• Direct secure messaging: bryan.baca@hca8.eclinicaldirectplus.com

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.

• Las Cruces Physician Services LLC

  • Orthopaedic Surgery Physician
  • Las Cruces, NM
  • NPI 1215079678
  Medicare reassignment Care Compare group NPD
• First Horizon Medical Center PA

  • Family Medicine Physician
  • Horizon City, TX
  • NPI 1770794778
  NPD (past)
• Robert E Urrea MD PA

  • Orthopaedic Surgery Physician
  • El Paso, TX
  • NPI 1265499578
  NPD (past)
• St. David'S Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)
• TCC Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
  • NPI 1215229257
  NPD (past)
• Familycare Associates,PA

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1821161407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Las Cruces Medical Center LLC

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1205882503
  Care Compare affiliation

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1487103370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 GATEWAY BLVD N",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241700",
            "telephone_number": "915-307-4936",
            "fax_number": "915-307-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 EDGEMERE BLVD",
            "address_2": "SUITE 1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253413",
            "telephone_number": "915-881-8264",
            "fax_number": "915-881-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "BRYAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRYAN.BACA@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6211 Edgemere Blvd",
            "address_2": "SUITE 1",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799253413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Baby Pavilion
• Moises Juan Baca Reyes
• Maria Margarita Baca-Gomez, LPC
• Alejandra Paola Baca
• Alyssa Kristine Baca, MS, RD. LD
• Jose Jesus Baca II, M.D.
• Juan Pablo Baca
• Lauren Baca, FNP-C
• Christopher Glenn Bacak, MD
• Rebekah Bach

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.