Jacob Thomas Baker, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.030458 Issued in IL

Practice address

1530 N Randall Rd Ste 210
Elgin, IL 60123-7879

Phone

(224) 760-7322

NPI assigned

Feb 11, 2025

Last updated

Jun 24, 2025By the provider in NPPES

Sex

Male

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 IL

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chestnut Health of Illinois LLCGroup PAC ID 2264747344, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mederi Caretenders Home health agency, Mount Vernon, IL, CCN 147251

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chestnut Health of Illinois LLC

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1588043939
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crossroads Home Care Services, LLC

  dba Mederi Caretenders

  • Home Health Agency
  • Mount Vernon, IL
  • NPI 1437138070
  Care Compare affiliation

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1003621657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N RANDALL RD STE 210",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237879",
            "telephone_number": "224-760-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N RANDALL RD STE 210",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237879",
            "telephone_number": "224-760-7322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Maryville University Dr",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631415849",
            "country_code": "US",
            "telephone_number": "800-627-9855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JACOB",
        "middle_name": "THOMAS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.030458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Bailey
• Amber Bain, J.D.
• Teliane Suella Bakala-Mpandzou, DMD, MSD
• Daisy Baker, LCSW
• Gayatri Kolluru Baker, D.O.
• Keith Baker, BA, CADC
• Balamoorti Gaonkar
• Rachel Leah Baldwin
• Richard M Baley, M.D.
• Aarti Bammi, M.S, R.D., L.D., CDE

• Nurse Practitioner in Elgin, IL
• Providers in Elgin, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.