KEISHA MONIQUE BAXTER – Psychiatric/Mental Health Nurse Practitioner, NPI 1013422302

KEISHA MONIQUE BAXTER is a healthcare provider. based in Virginia beach, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024175690 (VA). The NPI Number for KEISHA MONIQUE BAXTER is 1013422302

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KEISHA MONIQUE BAXTER
NPI
1013422302
Phone
(757) 802-4500
Address
770 Lynnhaven Pkwy Ste 240
Enumeration Date
7 December 2017
Last Update Date
19 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7578024500
Graduation Year
2016 (10 years ago)
PAC ID
3971868464
Group Practice PAC ID
2668614272
Professional Enrollment ID
I20180605000268
Address ID
VA234527371VI596XXPKWY319
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for KEISHA MONIQUE BAXTER

  • 770 Lynnhaven Pkwy Ste 240

    Virginia Beach, VA 234527324

    Phone: (757) 802-4500

    Fax: (757) 226-9002

    Type: Location

  • 240, Lynnhaven Parkway, Lynnhaven Mall, Lynnhaven, Virginia Beach, Virginia, 23452, United States

    VIRGINIA BEACH, VA 234527324

    Phone: (757) 802-4500

    Fax: (757) 226-9002

    Type: Mailing

  • 596 LYNNHAVEN PKWY STE 100

    VIRGINIA BEACH, VA 234527371

    Phone: (757) 802-4500

    Fax: (757) 226-9002

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,180.

Total Amount is formed as General ($1,180) + Research ($0) + Ownership ($0) = $1,180.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($611).

Total Amount

$1,180

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2018-06-05

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
I20180605000268INurse PractitionerVATBD

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 minutes7732$0
99212Established patient office or other outpatient visit, 10-19 minutes5833$0
View full utilization report →

Insurance plans in this area (ZIP 23452)

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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: 2668614272View full group profile

Reviews

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Frequently asked questions

What is the registry number for KEISHA MONIQUE BAXTER?
The registry entry for KEISHA MONIQUE BAXTER shows NPI 1013422302.
Is KEISHA MONIQUE BAXTER's NPI status active today?
Active status means KEISHA MONIQUE BAXTER's NPI record is not deactivated in the public file.
Which specialty label fits KEISHA MONIQUE BAXTER?
NPPES ties KEISHA MONIQUE BAXTER to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEISHA MONIQUE BAXTER?
KEISHA MONIQUE BAXTER is associated with Virginia Beach, Virginia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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