KATHLEEN C BACCUS (FNP) – Family Nurse Practitioner, NPI 1033727219
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for KATHLEEN C BACCUS (FNP)
4408 6TH ST
LUBBOCK, TX 794164732
Phone: (806) 791-0399
Fax: (806) 791-0373
Type: Location
2215 NASHVILLE AVE
LUBBOCK, TX 794101105
Phone: (806) 725-5844
Fax: (806) 723-6532
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $949.
Total Amount is formed as General ($949) + Research ($0) + Ownership ($0) = $949.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($295).
Total Amount
$949
General + Research + Ownership
Payments
21
Total payment records
General Amount
$949
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $295 |
| Medtronic, Inc. | $272 |
| AstraZeneca Pharmaceuticals LP | $101 |
| Dexcom, Inc. | $94 |
| Amneal Pharmaceuticals LLC | $89 |
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: 2020-08-12
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 |
|---|---|---|---|---|
| I20200812000090 | I | Nurse Practitioner | TX | 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 79416)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NH | |
| Nurse Practitioner | OH | |
| Physician Assistant | CT | |
| Certified Clinical Nurse Specialist (Cns) | OK | |
| Nurse Practitioner | LA | |
| Physician Assistant | ME | |
| Physician Assistant | ME | |
| Physician Assistant | NV | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | TX |
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