BAOLONG DO – Family Nurse Practitioner, NPI 1891338059

BAOLONG DO is a healthcare provider. based in Liberal, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 53-79076-102 (KS). The NPI Number for BAOLONG DO is 1891338059

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BAOLONG DO
NPI
1891338059
Phone
(620) 629-6638
Address
PO BOX 1340
Enumeration Date
21 October 2019
Last Update Date
27 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803383135
Graduation Year
2019 (7 years ago)
PAC ID
4486089190
Group Practice PAC ID
7517941651
Professional Enrollment ID
I20200127000392
Address ID
OK739424206GU121XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for BAOLONG DO

  • PO BOX 1340

    LIBERAL, KS 679051340

    Phone: (620) 629-6638

    Fax: (620) 629-6684

    Type: Mailing

  • Medical Drive, Guymon, Texas County, Oklahoma, 73942, United States

    GUYMON, OK 739423606

    Phone: (580) 338-3361

    Fax: (580) 338-1021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novo Nordisk Inc ($54).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$54
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200127000392INurse PractitionerOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes236123$0
J1100Injection, dexamethasone sodium phosphate, 1 mg23364$0
99214Established patient office or other outpatient visit, 30-39 minutes20095$0
J0696Injection, ceftriaxone sodium, per 250 mg20037$0
96372Injection of drug or substance under skin or into muscle19971$0
View full utilization report →

Insurance plans in this area (ZIP 67905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517941651View full group profile
NameSpecialtyState
Nurse PractitionerKS
General SurgeryKS
Nurse PractitionerKS
Nurse PractitionerKS
Orthopedic SurgeryKS
Certified Registered Nurse Anesthetist (Crna)MO
Nurse PractitionerOK
Diagnostic RadiologyANDHRA PRADESH
Nurse PractitionerKS
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

Is BAOLONG DO listed with a National Provider Identifier?
Yes — BAOLONG DO has NPI 1891338059 on file in the registry.
Is BAOLONG DO shown as active in public data?
Registry records indicate BAOLONG DO maintains an active NPI.
How would a patient describe BAOLONG DO's focus?
For BAOLONG DO, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BAOLONG DO associated with Liberal?
Public fields place BAOLONG DO around Liberal, Kansas. Always confirm the exact site before visiting.
Does BAOLONG DO accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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