Individual provider Active NPI

Maico Julian Baez Sr., APRN, CNP

  • Acute Care Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1710558598
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0029198 Issued in OH
Practice address
543 Park Ave
Hamilton, OH 45013-3033
Phone
(513) 737-0257
NPI assigned
Jul 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0029198 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0029198 OH
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0029198 OH Primary

Addresses

Primary practice location

543 Park Ave
Hamilton, OH 45013-3033

Mailing address

6479 Hamilton Mason Rd
West Chester, OH 45069-1375
Phone (513) 255-6566

Other practice location 1

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210716000292 OH Practitioner - Nurse Practitioner 2769884568 Reassigns benefits to 3 organizations
I20250530000770 KY Practitioner - Nurse Practitioner 2769884568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qualified Emergency Specialists IncGroup PAC ID 6002720430, 15 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Cincinnati, OH 45242-4402
Phone (513) 865-1111

989 Medical Park Dr
Maysville, KY 41056-8750
Phone (606) 759-5311

Hospital & facility affiliations

  • Fleming County Hospital Hospital, Flemingsburg, KY, CCN 180780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029198OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of Ohio, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Emergency Physician Associates of Ohio, Inc CurrentSince May 16, 2025 Accepting new patients
Qualified Emergency Specialists Inc Nurse Practitioner CurrentSince Jul 7, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

6949 Good Samaritan Dr
Cincinnati, OH 45247
Phone (513) 246-9800

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

3125 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 394-8888

100 Arrow Springs Blvd
Lebanon, OH 45036
Phone (513) 282-7000

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1710558598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6479 HAMILTON MASON RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691375",
            "telephone_number": "513-255-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 PARK AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133033",
            "telephone_number": "513-737-0257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10500 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452424402",
            "country_code": "US",
            "telephone_number": "513-865-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "MAICO",
        "middle_name": "JULIAN",
        "name_suffix": "Sr.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0029198",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029198",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0029198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.