CMS-1500 Box 24J / 33a • NPI
1932629862
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
4700 SOQUEL DR, SOQUEL, CA, 95073-2427
✓ 9-Digit EDI 837 ZIP+4 (95073-2427)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1932629862 (NICOLE A BAISDEN, NP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1932629862)
Medicare Beneficiaries
273
Total Billed Services
1,239
Distinct CPT/HCPCS Codes
6
Medicare Allowed Total
$140,311.31
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 839 |
99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 392 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 23 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 21 | <11 |
| Belsomra Suvorexant | 41 | <11 |
| Carbidopa-Levodopa Carbidopa/Levodopa | 16 | <11 |
| Carbidopa-Levodopa Er Carbidopa/Levodopa | 11 | <11 |
| Clonidine Hcl Clonidine Hcl | 20 | <11 |
| Divalproex Sodium Divalproex Sodium | 25 | <11 |
| Donepezil Hcl Donepezil Hcl | 15 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1932629862 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NICOLE A BAISDEN, NP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4700 SOQUEL DR, SOQUEL, CA, 95073-2427 |
| Practice Telephone / Fax | Tel: (831) 888-9410 | Fax: (831) 477-7795 |
| Administrative Mailing Address | 3400 DATA DR, RANCHO CORDOVA, CA, 95670-7956 |
| Enumeration & Last Sync | Enumerated: 2017-06-21 | CMS Record Updated: 2023-05-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NICOLE A BAISDEN, NP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WC0200X — Registered Nurse, Critical Care MedicinePlain English: Licensed & Credentialed Registered Nurse, Critical Care Medicine | State: OH | License: 423154 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: CA | License: 95010228 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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