PHILLIP L BALDWIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114297256

PHILLIP L BALDWIN (CRNA) is a healthcare provider. based in La porte, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 87895 (WA). The NPI Number for PHILLIP L BALDWIN (CRNA) is 1114297256

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP L BALDWIN (CRNA)
NPI
1114297256
Phone
(210) 326-0244
Address
1110 GLENBAY CT
Enumeration Date
6 January 2012
Last Update Date
25 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2108885200
Graduation Year
2011 (15 years ago)
PAC ID
2961858543
Group Practice PAC ID
5496088809
Professional Enrollment ID
I20231102002272
Address ID
TX781541227SC17005NXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

990 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for PHILLIP L BALDWIN (CRNA)

  • 1110 GLENBAY CT

    LA PORTE, TX 775717803

    Phone: (210) 326-0244

    Type: Mailing

  • 9040 JACKSON AVE

    TACOMA, WA 984310001

    Phone: (253) 968-0959

    Type: Location

  • WINN ARMY COMMUNITY HOSPITAL

    1061 HARMON AVE

    FORT STEWART, GA 31314

    Phone: (210) 326-0244

    Type: Mailing

  • BAMC 3851 Roger Brooke Dr

    MCHE-QD (Creds)

    FT Sam Houston, TX 78234

    Phone: (210) 326-0244

    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: 2023-11-02

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
I20231102002272ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00142Anesthesia for lens surgery488323$0
00140Anesthesia for other procedure on eye5942$0
View full utilization report →

Insurance plans in this area (ZIP 77571)

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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: 5496088809View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I use this page to confirm PHILLIP L BALDWIN (CRNA)'s NPI?
Yes. PHILLIP L BALDWIN (CRNA) is listed with NPI 1114297256 in the public NPI dataset.
Does the file indicate PHILLIP L BALDWIN (CRNA) is practicing under active NPI?
Directory data currently reports PHILLIP L BALDWIN (CRNA) as active.
What is PHILLIP L BALDWIN (CRNA)'s specialty?
The listing groups PHILLIP L BALDWIN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect PHILLIP L BALDWIN (CRNA) on a map?
Expect La Porte, Texas as a primary anchor for PHILLIP L BALDWIN (CRNA) unless the record lists multiple sites.
Is the information about PHILLIP L BALDWIN (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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