Active NPI
Toni Anne Baca, FNP
- Family Nurse Practitioner
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201806197NP-PP
- Practice address
- 70 Bower Dr
Medford, OR 97501-3689 - Phone
- (541) 734-3430
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.017695 | IL | |
| Family Nurse Practitioner | 363LF0000X | 201806197NP-PP | OR | Primary |
Addresses
Primary practice location
70 Bower Dr
Medford, OR 97501-3689
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (541) 734-3430
Other practice location 1
520 Medical Center Dr Ste 201
Medford, OR 97504-4334
Phone (541) 789-5705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500759907 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190425000274 | OR | Practitioner - Nurse Practitioner | 5092057919 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services Oregon
Practice addresses (Care Compare)
940 Royal Ave
Medford, OR 97504-6194
Hospital & facility affiliations
- Accentcare Home Health of Rogue Valley, LLC
- Providence Medford Home Care
- Providence Medford Medical Center
- Asante Rogue Regional Medical Center
- Asante Three Rivers Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.017695 | IL | MD | Family Nurse Practitioner |
| 201806197NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
3225 Hillcrest Park Dr
Medford, OR 97504
Phone (541) 774-5700
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
70 Bower Dr
Medford, OR 97501
Phone (541) 732-8360
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.
-
- Internal Medicine Physician
- Medford, OR
- NPI 1063705887
-
- Clinic/Center
- Phoenix, OR
- NPI 1992882500
-
- Internal Medicine Physician
- Central Point, OR
- NPI 1609951649
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Medford, OR
- NPI 1912228727
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
Hospital
-
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
Hospital
-
- Home Health Agency
- Medford, OR
- NPI 1487746491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1780162032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "541-734-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BOWER DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013689",
"telephone_number": "541-734-3430"
}
],
"practiceLocations": [
{
"address_1": "520 Medical Center Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975044334",
"country_code": "US",
"telephone_number": "541-789-5705",
"fax_number": "541-789-5711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACA",
"first_name": "TONI",
"middle_name": "ANNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.017695",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201806197NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500759907",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.