Individual provider Active NPI

Joshua Baxter, FNP-C

  • Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1932644036
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95030140 Issued in CA
Practice address
411 Grand Ave
Oakland, CA 94610-5022
Phone
(510) 844-4097
NPI assigned
Dec 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95030140 CA Primary

Addresses

Primary practice location

411 Grand Ave
Oakland, CA 94610-5022

Mailing address

1009 N Washtenaw Ave Unit 2S
Chicago, IL 60622-3464
Phone (773) 332-5312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 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
I20170106000380 IL Practitioner - Nurse Practitioner 9133400146 Reassigns benefits to 2 organizations
I20240802003624 CA Practitioner - Nurse Practitioner 9133400146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

1390 Market St
Suite 109
San Francisco, CA 94102-5403
Phone (415) 918-5766

1998 Market St
San Francisco, CA 94102-6228
Phone (415) 792-6040

2131 Irving St
San Francisco, CA 94122-1609
Phone (415) 231-2546

2690 5TH St
Suite B
Alameda, CA 94501-6584
Phone (510) 439-9447

3251 20TH Ave
Suite 320
San Francisco, CA 94132-1915
Phone (415) 480-1160

411 Grand Ave
Oakland, CA 94610-5022
Phone (510) 844-4097

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Sep 24, 2017 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 16, 2017 Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Sep 24, 2017 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 16, 2017 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

7732 Solution Ctr
Dept 3466
Chicago, IL 60677

808 S Wood St
#722
Chicago, IL 60612
Phone (312) 355-0865

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

Interoperability endpoints

  • Direct secure messaging: jbaxter16881@uihealth.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1932644036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N WASHTENAW AVE UNIT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223464",
            "telephone_number": "773-332-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946105022",
            "telephone_number": "510-844-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "JOSHUA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-27",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.