Nicole Marie Baldenegro, FNP in Douglas, AZ - Medicare Nurse Practitioner

Nicole Marie Baldenegro, FNP is a medicare enrolled "Nurse Practitioner - Family" in Douglas, Arizona. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bisbee Hospital Association and her current practice location is 1100 N F Ave, Douglas, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 364-3285.

Nicole Marie Baldenegro is licensed to practice in Arizona (license number 270094) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679081871.

Contact Information

	Nicole Marie Baldenegro, FNP
	1100 N F Ave, Douglas, AZ 85607-1919
	(520) 364-3285
	(520) 364-4261

Map and Direction

Provider's Profile

Full Name	Nicole Marie Baldenegro
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1100 N F Ave, Douglas, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Marie Baldenegro graduated from nursing school in 2021

NPI Data:

NPI Number: 1679081871
Provider Enumeration Date: 01/22/2018
Last Update Date: 02/05/2022

Medicare PECOS Information:

PECOS PAC ID: 5799178992
Enrollment ID: I20220211000506

Medical Identifiers

Medical identifiers for Nicole Marie Baldenegro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679081871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN200817 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	270094 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Copper Queen Community Hospital	Bisbee, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bisbee Hospital Association	5092626168	55

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Marie Baldenegro allows following entities to bill medicare on her behalf.

Entity Name	Bisbee Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Marie Baldenegro is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Marie Baldenegro, FNP 1205 N F Ave, Douglas, AZ 85607-1920 Ph: (520) 364-6882	Nicole Marie Baldenegro, FNP 1100 N F Ave, Douglas, AZ 85607-1919 Ph: (520) 364-3285

Reviews and Comments

Nurse Practitioner Nurses in Douglas, AZ

Lilia Lara, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 N F Ave, Douglas, AZ 85607 Phone: 520-364-3285
Oyeronke O Ajiboye-lala, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-366-3133
Ricardo Duarte, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6911 N Bdi Blvd, Douglas, AZ 85607 Phone: 520-364-7521
Kayla Rose Percy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 N F Ave, Douglas, AZ 85607 Phone: 520-364-1429
Shirley L. Bayham-hicks, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-3285 Fax: 520-364-4261
Ms. Gabrielle Alexandra Lugo, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-805-2986
Deborah Judith Kinder, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 N Bdi Blvd, Douglas, AZ 85607 Phone: 520-364-7521 Fax: 520-805-5969

Nicole Marie Baldenegro, FNP - Medicare Nurse Practitioner in Douglas, AZ