Individual provider Active NPI

Kelly Baxter, NP

  • Adult Health Nurse Practitioner
  • Wakefield, RI
National Provider Identifier
1851623557
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN00271 Issued in RI
Practice address
55 Cherry LN
Wakefield, RI 02879-3617
Phone
(401) 400-5535
NPI assigned
Feb 4, 2010
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN00271 RI Primary
Family Nurse Practitioner 363LF0000X NPP37541 RI
Family Nurse Practitioner 363LF0000X APRN00271 RI

Addresses

Primary practice location

55 Cherry LN
Wakefield, RI 02879-3617

Mailing address

55 Cherry LN
Wakefield, RI 02879-3617
Phone (401) 400-5535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20100519000869 RI Practitioner - Nurse Practitioner 5294864898 Reassigns benefits to 1 organization
I20240201003171 MA Practitioner - Nurse Practitioner 5294864898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 Cherry LN
Wakefield, RI 02879-3617
Phone (401) 400-5535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN00271RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Palliative Consulting LLC Adult Health CurrentSince Nov 1, 2020 Accepting new patients
Norwell Visiting Nurse Association Inc CurrentSince Dec 20, 2023 Accepting new patients
Norwell Visiting Nurse Association, Inc Past Accepting new patients
Hopehealth Hospice & Palliative Care Past Accepting new patients

Locations

120 Longwater Dr
Norwell, MA 02061
Phone (781) 659-2342

120 Longwater Dr
Ste 200
Norwell, MA 02061
Phone (781) 659-2342

55 Cherry Ln
Wakefield, RI 02879
Phone (401) 789-1367

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, 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": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1851623557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CHERRY LN",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793617",
            "telephone_number": "401-400-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHERRY LN",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793617",
            "telephone_number": "401-400-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN00271",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.