ATHENA BEVETTE BALDWIN (PA-C) – Physician Assistant, NPI 1215943055
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
Provider Addresses for ATHENA BEVETTE BALDWIN (PA-C)
10185 ETHEL CT
MANASSAS, VA 201112616
Phone: (503) 828-6167
Type: Mailing
882 GARRISONVILLE RD
STAFFORD, VA 225543907
Phone: (540) 318-6464
Type: Location
1007, North Navarro Street, Victoria, Victoria County, Texas, 77901, United States
VICTORIA, TX 779016736
Phone: (281) 224-1362
Type: Mailing
Citizens Medical Center, 2701, Hospital Drive, Victoria, Victoria County, Texas, 77901, United States
CITIZEN'S MEDICAL CENTER ED
VICTORIA, TX 77901
Phone: (361) 573-9181
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: 2019-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070113000039 | I | Physician Assistant | TX | TBD |
| I20190319001668 | I | Physician Assistant | DC | TBD |
| I20190411003179 | I | Physician Assistant | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 15 | 15 | $0 |
Insurance plans in this area (ZIP 20111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | VA | |
| Physician Assistant | WA |
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