Individual provider Active NPI

Donald Haldeman Baumer III, ARNP

  • Nurse Practitioner
  • Anacortes, WA
National Provider Identifier
1740615749
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60406246 Issued in WA
Practice address
8212 S. March Point Road
Anacortes, WA 98221-8684
Phone
(360) 588-2800
Fax
(360) 588-2808
NPI assigned
Sep 9, 2013
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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 AP60406246 WA Primary

Addresses

Primary practice location

8212 S. March Point Road
Anacortes, WA 98221-8684

Mailing address

8212 S. March Point Road
Anacortes, WA 98221-8684
Phone (360) 588-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 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
I20131120001423 WA Practitioner - Nurse Practitioner 1456587583 Reassigns benefits to 1 organization
I20210527000152 TX Practitioner - Nurse Practitioner 1456587583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puyallup Tribal Opioid Clinic IncGroup PAC ID 4486096377, 10 clinicians

Practice addresses (Care Compare)

503 E 26TH St
Cedar Wellness Clinic
Tacoma, WA 98421-1343
Phone (253) 881-7001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60406246WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Health Authority CurrentSince Sep 12, 2024 Accepting new patients
Swinomish Health Services CurrentSince Nov 29, 2020 Accepting new patients
Medtriq LLC CurrentSince Apr 24, 2018 Accepting new patients
Puyallup Tribal Opioid Clinic, Inc. CurrentSince Apr 1, 2024 Accepting new patients

Locations

9000 Crow Canyon Rd
Ste S360
Danville, CA 94506
Phone (650) 438-8983

6650 Gunpark Dr
Ste 100
Boulder, CO 80301

8212 S March Point Rd
Anacortes, WA 98221
Phone (360) 588-2800

503 E 26th St
Tacoma, WA 98421
Phone (253) 881-7001

2603 Bridgeport Way W
Ste F
University Place, WA 98466
Phone (253) 564-4073

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1740615749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 S. MARCH POINT ROAD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800",
            "fax_number": "360-588-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 S. MARCH POINT ROAD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800",
            "fax_number": "360-588-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMER",
        "first_name": "DONALD",
        "middle_name": "HALDEMAN",
        "name_suffix": "III",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-09",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60406246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.