MINNIE J BALDRIDGE (AUD, CCC-A) – Audiologist, NPI 1790719276
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
230 QUALIFIED AUDIOLOGIST in MO
Provider Addresses for MINNIE J BALDRIDGE (AUD, CCC-A)
615 W Nursery St
Butler, MO 647301840
Phone: (816) 322-8883
Type: Location
17601 E US Highway 40 Ste L
Independence, MO 640555490
Phone: (816) 373-7900
Type: Location
6528 Raytown Rd Ste I
Raytown, MO 641335023
Phone: (816) 737-0055
Type: Location
6528 RAYTOWN RD STE I
RAYTOWN, MO 641335023
Phone: (816) 737-0055
Type: Mailing
8424 CLINT DR
BELTON, MO 640125329
Phone: (816) 322-8883
Type: Location
West 65th Street, Shawnee, Johnson County, Kansas, 66203, United States
SHAWNEE, KS 66217
Phone: (913) 248-8971
Type: Location
6700, Washington Avenue South, Eden Prairie, Hennepin County, Minnesota, 55344, United States
EDEN PRAIRIE, MN 553443405
Phone: (612) 351-1529
Type: Mailing
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: 2012-01-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120125000431 | I | Qualified Audiologist | MO | TBD |
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.
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 64730)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | KS | |
| Qualified Audiologist | MO | |
| Qualified Audiologist | MO | |
| Qualified Audiologist | KS |
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