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Deactivated NPI 1508170408 Deactivated / Inactive NPI Male Practitioner

Anthony L Baca

Case Manager/Care Coordinator • Socorro, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Anthony Baca has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 03, 2010
NPI Deactivation Date May 15, 2025
Total Practice Duration ~15 Years of Practice (2010 – 2025)

Professional Overview & Biography Verified Profile Summary

Anthony Baca was a registered Case Manager/Care Coordinator practicing in Socorro, NM. Throughout an active medical career spanning 15 years, Anthony Baca provided care at the practice location at 1200 HIGHWAY 60 until profile deactivation on 2025-05-15.

Practice Location & Contact Primary Location

Practice Address

1200 Highway 60

Socorro, NM 878013914

Telephone 5758352444
Fax 5758380150
Associated Practice Facility / Clinic
🏢 Presbyterian Medical Services Facility NPI 1760805303

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Socorro, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
56 Specialists

Practicing in Socorro, NM (3474 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Morgan Shupe , CSW

Community Health Worker

NPI 1003673005

Clinical Social Worker

Dr. John Courtney , PsyD, MP

Psychologist - Prescribing (Medical)

NPI 1023179538

Doctor of Psychology (Psy.D.), MP

NPI 1023828183

Licensed Master Social Worker

Kaitlyn Pino , CSW

Case Manager/Care Coordinator

NPI 1033951702

Clinical Social Worker

Katy Weaver

Case Manager/Care Coordinator

NPI 1073855045
Jocelyn Garcia

Case Manager/Care Coordinator

NPI 1083014823

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 15, 2025

Record deactivated on May 15, 2025

NPI Profile Active August 03, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 03, 2010

Registered at 1200 HIGHWAY 60, SOCORRO, NM 878013914 (Tel: 5758352444)

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Updated Business Mailing Address August 03, 2010

Registered at 1200 HIGHWAY 60, SOCORRO, NM 878013914 (Tel: 5758352444)

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Provider Name / Credentials Updated August 03, 2010

Recorded as ANTHONY BACA

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2010

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration August 03, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508170408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2010
Last Update: August 03, 2010
Deactivation Date: May 15, 2025

Mailing Address

1200 Highway 60

Socorro, NM 878013914

Phone: 5758352444

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.