Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marylou Baca

Individual provider Nurse Practitioner · NPI 1629938873

Marylou Baca is a Nurse Practitioner in Santa Fe, New Mexico. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in New Mexico.

Years since qualifying
1
Licensed in
NM
In the registry since
2025

Practice location Address checks out

707 Paseo De Peralta
Santa Fe, NM 87501-1922
Phone: (505) 989-8707
Fax: (505) 989-3536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7555 Enchanted Hills Blvd Ne Ste 104, Rio Rancho, NM 87144-8625 — (505) 771-9833

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 85944 (NM)

Record details

NPI number1629938873
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 12, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address707 Paseo De Peralta, Santa Fe, NM 87501-1922

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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