Ikola Baccas, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11025212 Issued in FL

Practice address

3610 SW Perry CT
Port St Lucie, FL 34953-3544

Phone

(772) 240-5380

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nations Healthcare SpecialistsGroup PAC ID 7517306756, 5 clinicians

Ballout International PLLCGroup PAC ID 5890045256, 48 clinicians

Kopa LLCGroup PAC ID 5193774461, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 76)

Interoperability endpoints

• Direct secure messaging: ikola.baccas@762758994198532.direct.elationemr.com

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.

• Ballout International PLLC

  • Internal Medicine Physician
  • Vero Beach, FL
  • NPI 1629554225

  Family

  Medicare reassignment Care Compare group NPD
• Nations Healthcare Specialists

  • Clinic/Center
  • Vero Beach, FL
  • NPI 1043959612
  Medicare reassignment Care Compare group NPD
• Kopa LLC

  • Multi-Specialty Clinic/Center
  • Orlando, FL
  • NPI 1417021114
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1649964693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SW PERRY CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533544",
            "telephone_number": "772-240-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SW PERRY CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533544",
            "telephone_number": "772-240-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCAS",
        "first_name": "IKOLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azof Enterprises Inc
• B & B Angel'S Home LLC
• B & B Angels House
• B & K Traffic School Multiservices LLC
• Marc-Alain Babi, M.D
• Kareena Annupa Bachan, CCC-SLP
• Back to You Wellness, LLC
• Nikola Backiel, MS, RDN, LDN, CLC
• Bethany Lynn Badder
• Jonise Badeau Cius

• Family Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.