Active NPI
Kayla J Baker, FNP
- Family Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1023720455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 349666
- Practice address
- 736 Irving Ave
Syracuse, NY 13210-1602 - Phone
- (315) 470-7424
- NPI assigned
- Dec 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F349666-01 | NY | |
| Registered Nurse | 163W00000X | 720750-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | 349666 | NY | Primary |
Addresses
Primary practice location
736 Irving Ave
Syracuse, NY 13210-1602
Mailing address
68 Hoag Dr
Phoenix, NY 13135-3312
Phone (315) 256-8674
Other practice location 1
421 Montgomery St
Syracuse, NY 13202-2923
Phone (315) 435-3236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720750-01 | NY | MD | Registered Nurse |
| F349666-01 | NY | MD | Family Medicine Physician |
| 349666 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Central and Western New York, Inc | Current | Accepting new patients |
Locations
15 Webster St
North Tonawanda, NY 14120
Phone (716) 694-1225
114 University Ave
Rochester, NY 14605
Phone (585) 546-2771
1120 E Genesee St
Syracuse, NY 13210
Phone (315) 475-5540
Interoperability endpoints
- kayla.wagnernp.p4@direct.usppny.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Ambulatory Family Planning Facility
- Rochester, NY
- NPI 1306909957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1023720455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 HOAG DR",
"city": "PHOENIX",
"state": "NY",
"postal_code": "131353312",
"telephone_number": "315-256-8674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101602",
"telephone_number": "315-470-7424"
}
],
"practiceLocations": [
{
"address_1": "421 Montgomery St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132022923",
"country_code": "US",
"telephone_number": "315-435-3236",
"fax_number": "315-435-3935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "KAYLA",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-16",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "F349666-01",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "720750-01",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "349666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.