Individual provider Active NPI

Caleb Baker, PA

  • Physician Assistant
  • Jackson, MI
National Provider Identifier
1013392547
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1201 E Michigan Ave Ste 300
Jackson, MI 49201-1853
Phone
(517) 841-1431
Fax
(517) 841-1432
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary

Addresses

Primary practice location

1201 E Michigan Ave Ste 300
Jackson, MI 49201-1853

Mailing address

1201 E Michigan Ave Ste 300
Jackson, MI 49201-1853
Phone (517) 841-1431

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbaker455210@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20151014002027 MI Practitioner - Physician Assistant 1052620093 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, shared by 11 NPIs, 476 clinicians

Practice addresses (Care Compare)

1201 E Michigan Ave
Jackson, MI 49201-1855

205 N E Ave
Jackson, MI 49201-1753

813 W Michigan Ave
Henry Ford Allegiance Wound Care Center M
Jackson, MI 49201-4158
Phone (517) 205-6430

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsdale Community Health Center CurrentSince Mar 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Dec 1, 2016 Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Oct 23, 2015 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Sep 11, 2017 Accepting new patients
Hillsdale Community Health Center CurrentSince Mar 1, 2022 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Oct 23, 2015 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

240 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-7040

1201 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1431

1201 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-1431

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1401 W North St
Jackson, MI 49202
Phone (517) 205-2555

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1013392547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011853",
            "telephone_number": "517-841-1431",
            "fax_number": "517-841-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011853",
            "telephone_number": "517-841-1431",
            "fax_number": "517-841-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CALEB",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbaker455210@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "1201 E Michigan Ave Ste 300",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492011853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.