Nicolette Lynna Baer, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Indianapolis, IN
NPI 1619445293 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1619445293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 71008455A (IN)
- Practice address
- 222 E Ohio St
Indianapolis, IN 46204-2193 - Phone
- (877) 882-5122
- NPI assigned
- Nov 13, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181227000888 | IN | Practitioner - Nurse Practitioner | 7214272954 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71008455A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult and Child Mental Health Center Inc | Current |
Accepting new patients | |
| Adult and Child Mental Health Center Inc | Current |
Accepting new patients |
Locations
8320 Madison Ave
Indianapolis, IN 46227
Phone (317) 881-7061
Interoperability endpoints
- nicolette.baer.p1@direct.adultandchild.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71008455A | IN | Yes |
Addresses
Primary practice location
222 E Ohio St
Indianapolis, IN 46204-2193
Mailing address
8320 Madison Ave
Indianapolis, IN 46227-6066
Phone (317) 882-5122
Other providers in Indianapolis, IN
- Connie Eunseol Baek
- Jennifer Baenziger
- John Baenziger
- Peter H Baenziger
- Julilla Rose Baer
- Luz Virginia Baez
- Scarlet Abigail Baez
- Stephanie Bagato
- Shelby Bagby
- Yaser Baghdadi
All providers in Indianapolis, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.