Individual provider Active NPI

Stephanie Lynn Baldwin

  • Gerontology Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1619477809
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP132898 Issued in TX
Practice address
5555 N Mesa St Ste 400
El Paso, TX 79912-5424
Phone
(906) 396-6156
NPI assigned
Feb 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP132898 TX
Gerontology Nurse Practitioner 363LG0600X AP132898 TX Primary

Addresses

Primary practice location

5555 N Mesa St Ste 400
El Paso, TX 79912-5424

Mailing address

5532 Dennis Cavin LN
El Paso, TX 79934-3281
Phone (915) 929-0557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240625002598 TX Practitioner - Nurse Practitioner 1254874720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners TX PLLCGroup PAC ID 7214455914, 35 clinicians

Practice addresses (Care Compare)

14300 Pebble Hills Blvd
El Paso, TX 79938-2467
Phone (915) 955-9998

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. CurrentSince Jun 1, 2025 Accepting new patients
Sunshine Medical Care PLLC CurrentSince May 30, 2024 Accepting new patients

Locations

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

5555 N Mesa St
Ste 400
El Paso, TX 79912
Phone (915) 320-9476

2311 N Mesa St
Ste H
El Paso, TX 79902
Phone (915) 320-9476

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1619477809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 DENNIS CAVIN LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343281",
            "telephone_number": "915-929-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N MESA ST STE 400",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125424",
            "telephone_number": "906-396-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP132898",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP132898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.