Cody M Baxter

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3625 Lincoln St S Ste C
Fargo, ND 58104-7766

Phone

(701) 532-2458

Fax

(701) 935-7277

NPI assigned

Jun 4, 2018

Sex

Male

Sole proprietor

No

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.

• Progress Weight Management PLLC

  • Obesity Medicine (Family Medicine) Physician
  • Fargo, ND
  • NPI 1437834256

  ND

  Medicare reassignment Care Compare group Authorized official

Specialty

Physician Assistant

Education

University of North Dakota School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Progress Weight Management PLLC 5 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in ND

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2023.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1922590181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 LINCOLN ST S STE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047766",
            "telephone_number": "701-532-2458",
            "fax_number": "701-935-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 LINCOLN ST S STE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047766",
            "telephone_number": "701-532-2458",
            "fax_number": "701-935-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "CODY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Susan Baumgartner, OT
• Peyton Boom Baumgartner, MS, SLP
• Tammy Jo Baumgartner
• Tom L Baumgartner Jr., MPT
• Aaron Gregory Baune, MD
• BBR Homehealthcare
• Beacon of Light House
• David M Beard, MD,
• Debra A Beard, MD
• Jeanne C Beare, FNP

• All providers in Fargo, ND
• Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.