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

Dustin Kyle Baldwin

Individual provider Family Nurse Practitioner · NPI 1407534316

Dustin Kyle Baldwin is a Nurse Practitioner in Snowflake, Arizona. Qualified in 2023, 3 years ago. Practices with Summit Healthcare Medical Associates, a 73-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023

Practice location Address checks out

590 S Main St
Snowflake, AZ 85937-5228
Phone: (928) 536-7519
Fax: (928) 532-2139
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 294738 (AZ)

Record details

NPI number1407534316
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 10, 2023
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024

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 Summit Healthcare Medical Associates — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Snowflake