SIOBHAN BAXTER – Student in an Organized Health Care Education/Training Program, NPI 1679325310

SIOBHAN BAXTER is a healthcare provider. based in North reading, Massachusetts. specializing in PHYSICIAN ASSISTANT. The NPI Number for SIOBHAN BAXTER is 1679325310

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SIOBHAN BAXTER
NPI
1679325310
Phone
(781) 315-3008
Address
2 MALLARD LN
Enumeration Date
4 April 2024
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176365000
Graduation Year
2024 (2 years ago)
PAC ID
3072057645
Group Practice PAC ID
4486546082
Professional Enrollment ID
I20240708001063
Address ID
MA021111552BO800XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

5,131 PHYSICIAN ASSISTANT in MA

Provider Addresses for SIOBHAN BAXTER

  • 2 MALLARD LN

    NORTH READING, MA 018642169

    Phone: (781) 315-3008

    Type: Mailing

  • 800 WASHINGTON ST

    BOSTON, MA 021111552

    Phone: (617) 636-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-07-08

PECOS data refreshed: 2026-06-15

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
I20240708001063IPhysician AssistantMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01864)

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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: 4486546082View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryCT
-MA
Plastic And Reconstructive Surgery, General SurgeryMA
Physician AssistantMA
Gastroenterology, Internal MedicineMA
General SurgeryMA
General SurgeryMA
Physician AssistantNY
Physician AssistantNY
-MA

Reviews

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Frequently asked questions

What is the standard ID for SIOBHAN BAXTER in the U.S.?
In the U.S., SIOBHAN BAXTER is identified by NPI 1679325310.
Should I treat SIOBHAN BAXTER as an active provider?
Patients and plans typically see SIOBHAN BAXTER as active in the national extract.
What services align with SIOBHAN BAXTER's listing?
SIOBHAN BAXTER's public classification highlights Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is SIOBHAN BAXTER tied to North Reading, Massachusetts?
If you are local to North Reading, Massachusetts, SIOBHAN BAXTER may be relevant to your search.
Why is information missing for SIOBHAN BAXTER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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