Kelly Anne Baxter
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Warwick, RI
NPI 1992114359 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1992114359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN05093 (RI)
- Practice address
- 400 Bald Hill Rd Ste 530
Warwick, RI 02886-6111 - Phone
- (401) 785-0040
- NPI assigned
- Aug 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141022000671 | NY | Practitioner - Nurse Practitioner | 5496976193 | Reassigns benefits to 2 organizations |
| I20260602003533 | RI | Practitioner - Nurse Practitioner | 5496976193 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F401758-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| APRN05093 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Twin Tier Pathology Associates, PC | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Child and Family Psychiatry, Inc. | Current |
Accepting new patients | |
| Cortland County Health Department Nursing Clinics | Current |
Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital Inc. | Current |
Accepting new patients | |
| Cortland County County Treasurer | Psychiatric/Mental Health | Current |
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
- kellyanne@hiemail.healtheconnections.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN05093 | RI | Yes |
| 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
Other providers in Warwick, RI
- Yasmin Bata
- Stephanie Batista
- Tarshire Battle
- Jessica Lynn Baulier
- Robert Edward Baute
- Bayada Home Health Care, Inc.
- Deborah Lopes Bayne
- Kolu S. Baysah Clark
- Bayside Endocrinology Inc
- Bayside Nursing LLC
All providers in Warwick, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.