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

Nicole Marie Baldenegro, FNP

Individual provider Registered Nurse · NPI 1679081871

Nicole Marie Baldenegro, FNP is a Nurse Practitioner in Douglas, Arizona. Qualified in 2021, 5 years ago. Practices with Bisbee Hospital Association, a 66-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1100 N F Ave
Douglas, AZ 85607-1919
Phone: (520) 364-3285
Fax: (520) 364-4261
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 270094 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN200817 (AZ)

Record details

NPI number1679081871
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJanuary 22, 2018
Last updated in NPPESFebruary 5, 2022
Certification dateFebruary 5, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bisbee Hospital Association — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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