Individual provider Active NPI

Ronalyn Ubaldo Baricevic, NP

  • Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1528633690
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
255314 Issued in AZ
Practice address
13606 N 59TH Ave Ste 1
Glendale, AZ 85304-1271
Phone
(602) 978-6100
Fax
(602) 978-6555
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 255314 AZ Primary

Addresses

Primary practice location

13606 N 59TH Ave Ste 1
Glendale, AZ 85304-1271

Mailing address

13606 N 59TH Ave Ste 1
Glendale, AZ 85304-1271
Phone (602) 978-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210719000863 AZ Practitioner - Nurse Practitioner 5092117770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.87 of 100Reported as group
Quality
95.68
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
255314AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paseo Medical Specialists LLC CurrentSince Jul 15, 2021 Accepting new patients

Locations

13606 N 59th Ave
Ste 1
Glendale, AZ 85304
Phone (602) 978-6100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ronalyn.baricevic.p1@direct.appss.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1528633690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 N 59TH AVE STE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041271",
            "telephone_number": "602-978-6100",
            "fax_number": "602-978-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 N 59TH AVE STE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041271",
            "telephone_number": "602-978-6100",
            "fax_number": "602-978-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARICEVIC",
        "first_name": "RONALYN",
        "middle_name": "UBALDO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-09-26",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "255314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.