NPIMap

Individual provider Active NPI

Nicole Lynne Baker, NP-C

  • Family Nurse Practitioner
  • Willard, MO
National Provider Identifier
1013550482
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019039808 Issued in MO
Practice address
798 Bent Tree Ave
Willard, MO 65781-6003
Phone
(000) 000-0000
NPI assigned
Oct 17, 2019
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019039808 MO Primary

Addresses

Primary practice location

798 Bent Tree Ave
Willard, MO 65781-6003

Mailing address

798 Bent Tree Ave
Willard, MO 65781-6003

Other names 1

  • Nicole Lynne Gallant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191221000503 MO Practitioner - Nurse Practitioner 2860826088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

118 W Dallas St
MC Family Medicine Buffalo
Buffalo, MO 65622-8669
Phone (417) 345-6101

1605 Martin Springs Dr
Rolla, MO 65401-2980

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

363 E Old Route 66
MC Family Medicine Strafford
Strafford, MO 65757-7801
Phone (417) 736-9175

363 E Route 66
MC Family Medicine Strafford
Strafford, MO 65757-7801
Phone (417) 736-9175

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2019039808MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jul 28, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 28, 2025 Accepting new patients
Citizens Memorial Healthcare CurrentSince Dec 2, 2019 Accepting new patients
Citizens Memorial Healthcare CurrentSince Dec 2, 2019 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Jul 28, 2025 Accepting new patients
Lester E Cox Medical Centers PastSince Jul 21, 2024 Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

2230 S Springfield Ave
Ste Hj
Bolivar, MO 65613
Phone (417) 777-4800

400 E Hospital Rd
El Dorado Springs, MO 64744
Phone (417) 876-2531

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3801 S National Ave
Ste 1122
Springfield, MO 65807

363 E Old Route 66
Strafford, MO 65757
Phone (417) 736-9175

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1013550482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 BENT TREE AVE",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657816003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 BENT TREE AVE",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657816003",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "NICOLE",
        "middle_name": "LYNNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019039808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GALLANT",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willard, MO

Sources for this page

Verify at the official NPI Registry.