Individual provider Active NPI

Kelly Anne Baxter

  • Psychiatric/Mental Health Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1992114359
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN05093 Issued in RI
Practice address
400 Bald Hill Rd Ste 530
Warwick, RI 02886-6111
Phone
(401) 785-0040
NPI assigned
Aug 10, 2014
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN05093 RI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401758-1 NY

Addresses

Primary practice location

400 Bald Hill Rd Ste 530
Warwick, RI 02886-6111

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (781) 551-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, RI2 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
I20141022000671 NY Practitioner - Nurse Practitioner 5496976193 Reassigns benefits to 2 organizations
I20260602003533 RI Practitioner - Nurse Practitioner 5496976193

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F401758-1NYMDPsychiatric/Mental Health Nurse Practitioner
APRN05093RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Jan 1, 2025 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Child and Family Psychiatry, Inc. CurrentSince Jul 13, 2026 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Cortland County County Treasurer Psychiatric/Mental Health CurrentSince Feb 19, 2025 Accepting new patients
Cortland County Health Department Nursing Clinics CurrentSince Feb 19, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

7 Clayton Ave
Cortland, NY 13045
Phone (607) 758-6100

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

1485 S County Trl
Unit 107
East Greenwich, RI 02818
Phone (401) 258-1621

400 Bald Hill Rd
Ste 530
Warwick, RI 02886
Phone (401) 737-9091

Interoperability endpoints

  • Direct secure messaging: kellyanne@hiemail.healtheconnections.org

Organizations & group practices 7

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": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1992114359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "781-551-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD STE 530",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028866111",
            "telephone_number": "401-785-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN05093",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401758-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.