Individual provider Active NPI

Priscilla S Baber, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1528631488
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1047769 Issued in TX
Practice address
2118 E State Highway 114
Southlake, TX 76092-6512
Phone
(817) 488-0410
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0004550-C-NP CO
Family Nurse Practitioner 363LF0000X 1047769 TX Primary

Addresses

Primary practice location

2118 E State Highway 114
Southlake, TX 76092-6512

Mailing address

2118 E State Highway 114
Southlake, TX 76092-6512

Other practice location 1

240 Adriatic Pkwy Ste 300
McKinney, TX 75072-1209
Phone (469) 452-2024

Other practice location 2

80 Health Park Dr
Louisville, CO 80027-9584
Phone (303) 661-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220930000858 CO Practitioner - Nurse Practitioner 5496131344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

2030 Mountain View Ave
Suite 310
Longmont, CO 80501-3181
Phone (303) 661-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1047769TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

11700 W 2nd Pl
Ste 225
Lakewood, CO 80228
Phone (720) 321-8950

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

2030 Mountain View Ave
Ste 310
Longmont, CO 80501
Phone (303) 772-6244

80 Health Park Dr
Louisville, CO 80027
Phone (303) 269-2085

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1528631488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 E STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 E STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926512",
            "telephone_number": "817-488-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Adriatic Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750721209",
            "country_code": "US",
            "telephone_number": "469-452-2024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Health Park Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279584",
            "country_code": "US",
            "telephone_number": "303-661-4100",
            "fax_number": "720-321-8969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABER",
        "first_name": "PRISCILLA",
        "middle_name": "S",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0004550-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.