Melissa Baker, AGPCNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704234211 Issued in MI

Practice address

5440 Corporate Dr
Troy, MI 48098-2646

Phone

(866) 902-5854

NPI assigned

Aug 3, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, OH, PA, IL4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Residential Hospice LLCGroup PAC ID 0840333589, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Residential Hospice, LLC

  • Adult Health Nurse Practitioner
  • Troy, MI
  • NPI 1750836664

  MI

  Medicare reassignment Care Compare group NPD
• Residential Hospice, LLC

  • Adult Health Nurse Practitioner
  • Maumee, OH
  • NPI 1528773132

  OH

  Medicare reassignment Care Compare group NPD
• Residential Hospice Illinois, LLC

  • Adult Health Nurse Practitioner
  • Lisle, IL
  • NPI 1891164554

  IL

  Medicare reassignment NPD
• Residential Hospice of Carlisle, LLC

  • Adult Health Nurse Practitioner
  • Mechanicsburg, PA
  • NPI 1730897208

  PA

  Medicare reassignment NPD
• Residential Hospice of Southern Illinois, LLC

  • Adult Health Nurse Practitioner
  • Glen Carbon, IL
  • NPI 1437610011

  IL

  Medicare reassignment NPD
• Residential Hospice, LLC

  • Community Based Hospice Care Agency
  • Troy, MI
  • NPI 1689904591
  Care Compare group
• Residential Hospice, LLC

  • Community Based Hospice Care Agency
  • Maumee, OH
  • NPI 1891413597
  Care Compare group
• Residential Hospice Illinois, LLC

  • Community Based Hospice Care Agency
  • Northbrook, IL
  • NPI 1538815113
  NPD
• Residential Hospice of Southern Illinois, LLC

  • Community Based Hospice Care Agency
  • Saint Louis, MO
  • NPI 1750009452
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1003369307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31007 FLORENCE ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351372",
            "telephone_number": "734-788-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 CORPORATE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982646",
            "telephone_number": "866-902-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MELISSA",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704234211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Carron Baker, PT
• Deante Baker
• Jalon Nicole Baker
• Lashawn Baker
• Lauren Marie Baker, RD
• Sophia Baker
• Ebraam Mounir Bakhiet, OD
• Anezi E Bakken, MD
• Susan Hyde Bakker, LMSW
• Vishal Bakshi

• All providers in Troy, MI
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.