NPIMap

Organization Active NPI

Hillcrest Baptist Medical Center

Doing business as Baylor Scott & White Medical Center Hillcrest

  • General Acute Care Hospital
  • Waco, TX
National Provider Identifier
1891882833
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000506 Issued in TX
Legal business name
HILLCREST BAPTIST MEDICAL CENTER
Doing business as
Baylor Scott & White Medical Center Hillcrest
Practice address
100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone
(254) 202-5631
Fax
(254) 202-5651
NPI assigned
Oct 10, 2006
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Shellie Mach
Title
Cfo
Phone
(254) 202-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 000506 TX Primary

Addresses

Primary practice location

100 Hillcrest Medical Blvd
Waco, TX 76712-8897

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 15

IdentifierTypeStateIssuer
1790214MedicaidLA
100701060AMedicaidOK
138962904MedicaidTX
A0447MedicaidNM
104027100OtherHBMC FIRSTCARE PROV. #
114048105MedicaidAR
138962906MedicaidTX
138962907MedicaidTX
XHSP32065MedicaidCA
101669OtherTXCHIPS - SUPERIOR INS.
HH0122OtherHBMC BCBC OF TX PROV. #
104024100OtherFIRSTCARE HBMC PHYS GRP
138962905MedicaidTX
138962912MedicaidTX
13896902MedicaidTX

Other names 1

  • BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051028000769 TX Part A Provider - Hospital 9931178548 Practice locations: Hewitt, TX; Waco, TX
O20071221000085 TX Part A Provider - Hospital 9931178548 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waco, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1891882833. Details of each certification follow.

Hospital certification: CCN 450101

Legal name
HILLCREST BAPTIST MEDICAL CENTER
Doing business as
BAYLOR SCOTT & WHITE MEDICAL CENTER - HILLCREST
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 12, 2024
Beds
260
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1920 in TX
Enrollment address
100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 45T101

Legal name
HILLCREST BAPTIST MEDICAL CENTER
Doing business as
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1920 in TX
Enrollment address
100 Hillcrest Medical Blvd
2ND Floor
Waco, TX 76712-8897
Hospital Rehabilitation Unit
Hospital subgroups
General, Acute care, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Baylor Scott & White Medical Center HillcrestCCN 450101 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Hillcrest Baptist Med CtrCCN 45T101 · All quality measures
Ownership
Non-profit
Certified
Jun 1, 2010

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2201 MacArthur Dr
Ste 2205
Waco, TX 76708
Phone (254) 202-6500

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David E Haynes Individual Operational/Managerial ControlTrustee Jul 1, 2024
Gregory Haralson Individual Operational/Managerial ControlTrustee Jul 1, 2024
Glynnis Gaines Individual Operational/Managerial ControlTrustee Jul 1, 2017
Ryan Lindsey Individual Operational/Managerial ControlTrustee Jul 1, 2022
Scott & White Healthcare Organization, Temple, TX Non-profit Operational/Managerial Control Apr 1, 2009
Sarah Roberts Individual Operational/Managerial ControlTrustee Jul 1, 2024
Baylor Scott & White Health Organization, Temple, TX Non-profit Operational/Managerial Control Mar 1, 2014
Rene Maciel Individual Corporate DirectorBoard Member Jul 1, 2025
Tommye Lou Davis Individual Corporate DirectorBoard Member Jul 1, 2025
Jana Hixson Individual Operational/Managerial ControlTrustee Jul 1, 2023
William T McCunniff Individual Operational/Managerial ControlTrustee Nov 16, 2020
Robin W Watson Individual Operational/Managerial ControlTrustee Jul 1, 2024
Christopher Lancaster Individual Corporate DirectorCeo Jan 8, 2024
W-2 Managing EmployeeCeo Jan 8, 2024
Operational/Managerial ControlCeo Jan 8, 2024
Thomas Litle Individual Operational/Managerial ControlTrustee Jul 1, 2023
Shellie Mach Individual Corporate DirectorInterim Cfo May 25, 2020
W-2 Managing EmployeeInterim Cfo May 25, 2020
Operational/Managerial ControlInterim Cfo May 25, 2020
Corporate DirectorCfo May 26, 2020
W-2 Managing EmployeeCfo May 26, 2020
Operational/Managerial ControlCfo May 26, 2020
Christopher R Grant Individual Operational/Managerial ControlTrustee Jul 1, 2020
Hillcrest Baptist Medical Center Organization, Temple, TX Non-profit Operational/Managerial Control Apr 1, 2009
Baylor Scott & White Holdings Organization, Dallas, TX Non-profit Other Mar 1, 2014
Scott & White Memorial Hospital Organization, Temple, TX Corporation, Non-profit Operational/Managerial Control Jan 1, 2025

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White Medical Center HillcrestWaco, TX, CCN 45T101 Hospital Operational/Managerial Control Apr 1, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 36

Practitioners & affiliated clinicians

Practitioners 109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 109

Affiliated clinicians 611

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 611

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1891882833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HILLCREST MEDICAL BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128897",
            "telephone_number": "254-202-5631",
            "fax_number": "254-202-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST BAPTIST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "MACH",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "254-202-9450"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790214",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100701060A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138962904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0447",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HBMC FIRSTCARE PROV. #",
            "identifier": "104027100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114048105",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138962906",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138962907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP32065",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS - SUPERIOR INS.",
            "identifier": "101669",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HBMC BCBC OF TX PROV. #",
            "identifier": "HH0122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE HBMC PHYS GRP",
            "identifier": "104024100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138962905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138962912",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13896902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.