Individual provider Active NPI

Angela Genette Baumeister, PA-C

  • Medical Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1508028606
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-2008-0029 Issued in NM
Practice address
707 13TH St NW
Albuquerque, NM 87102-1841
Phone
(781) 913-0567
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-2008-0029 NM Primary

Addresses

Primary practice location

707 13TH St NW
Albuquerque, NM 87102-1841

Mailing address

707 13TH St NW
Albuquerque, NM 87102-1841
Phone (781) 913-0567

Other identifiers 2

IdentifierTypeStateIssuer
59509082MedicaidNM
NM400306OtherNMMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100525000969 NM Practitioner - Physician Assistant 9739218058 Reassigns benefits to 1 organization
I20230614000764 TX Practitioner - Physician Assistant 9739218058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
64.55
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-2008-0029NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients

Organizations & group practices 5

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1508028606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 13TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021841",
            "telephone_number": "781-913-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 13TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021841",
            "telephone_number": "781-913-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMEISTER",
        "first_name": "ANGELA",
        "middle_name": "GENETTE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA-2008-0029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59509082",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NM400306",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.