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

Mr. Ian Lloyd Ruiz Baccay, RN

Individual provider Family Nurse Practitioner · NPI 1093496069

Mr. Ian Lloyd Ruiz Baccay, RN is a Nurse Practitioner in Fort Mohave, Arizona. Qualified in 2023, 3 years ago. Practices with Guam Healthcare Development Incorporated, a 209-clinician group and accepts Medicare assignment. Licensed in Arizona and Guam.

Years since qualifying
3
Licensed in
AZ, GU
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

5263 S Highway 95 Fort Mohave Az 86426
Fort Mohave, AZ 86426-9223
Phone: (928) 704-6400
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 295726 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 100460 (GU)

Record details

NPI number1093496069
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 31, 2023
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Guam Healthcare Development Incorporated — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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