Wilma Diane Baliem, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-046774 Issued in AL

Practice address

1660 Springhill Avenue
Mobile, AL 36640-0430

Phone

(251) 665-8000

Fax

(251) 665-8010

NPI assigned

May 7, 2007

Last updated

Jun 3, 2015By the provider in NPPES

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

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, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Health - Mci Business Services LLCGroup PAC ID 6800290305, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health Children's & Women's Hospital Hospital, Mobile, AL, CCN 013301
• USA Health University Hospital Hospital, Mobile, AL, CCN 010087

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

96.44

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• USA Health - Mci Business Services LLC

  • Hematology & Oncology Physician
  • Mobile, AL
  • NPI 1952972812
  Medicare reassignment Care Compare group NPD
• Monroe County Health Care Authority

  dba Monroe County Hospital Lab

  • Clinical Medical Laboratory
  • Monroeville, AL
  • NPI 1811027576
  Medicare reassignment NPD
• University of South Alabama

  dba USA Student Health Center

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1992746838

  Nurse Practitioner

  Medicare reassignment NPD
• Monroe County Health Care Authority

  dba Monroe County Hospital Board

  • Critical Access Hospital
  • Monroeville, AL
  • NPI 1457392904
  NPD
• University of South Alabama

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1497859052
  NPD
• University of South Alabama

  dba USA Health

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1700241015
  NPD
• USA Health - Mci Business Services LLC

  dba USA Health MCI - Surgical Oncology

  • Surgical Oncology Physician
  • Mobile, AL
  • NPI 1295408805
  NPD
• University of South Alabama Mitchell Cancer Institute

  • Multi-Specialty Clinic/Center
  • Mobile, AL
  • NPI 1023210259
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of South Alabama

  dba USA Health Children's & Women's Hospital

  • Children's Hospital
  • Mobile, AL
  • NPI 1023055191
  Care Compare affiliation
• University of South Alabama

  dba USA Health University Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1063468072
  Care Compare affiliation
• University of South Alabama

  dba USA Health Reference Lab Billing

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1972138022
  Care Compare affiliation

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1871706978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40430",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400430",
            "telephone_number": "251-665-8000",
            "fax_number": "251-665-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SPRINGHILL AVENUE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400430",
            "telephone_number": "251-665-8000",
            "fax_number": "251-665-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALIEM",
        "first_name": "WILMA",
        "middle_name": "DIANE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-046774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891017418",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - 1660 SPRINGHILL AVE",
            "identifier": "051544202",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - HSF",
            "identifier": "51542600",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00985524",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308566000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selena Lee Baldwin, NP
• Vicki Lea Baldwin, M.D.
• Amber Baldwyn
• Maureen T Baldy, DMD
• Amanda Balena, MA, LMFT
• Jessica Ann Ball, LPC
• Michael Eugene Ball
• Olivia Claire Ball, M.D.
• Stuart Furtwangle Ball, M.D.
• Stuart R Ball, M.D.

• Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.