Marylou Baca
NPI 1629938873ActiveIndividual· Nurse Practitioner· Santa Fe, NM
Nurse Practitioner in Santa Fe, New Mexico, licensed in NM, with an NPI issued in November 2025. Enrolled in Medicare as practitioner - nurse practitioner. Lists Christus St Vincent Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1629938873 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 12, 2025 |
| Last updated in NPPES | Nov 12, 2025 |
| Certified by provider | Nov 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 85944 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NM) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Hospital affiliation
- Christus St Vincent Regional Medical CenterSanta Fe, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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