NPIMap

Individual provider Active NPI

Kimberly Baker, M.D.

  • Family Medicine Physician
  • Bethany, MO
National Provider Identifier
1043693104
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022013209 Issued in MO
Practice address
3202 Miller St
Bethany, MO 64424-2713
Phone
(660) 425-3154
NPI assigned
Jul 7, 2015
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2022013209 MO Primary

Addresses

Primary practice location

3202 Miller St
Bethany, MO 64424-2713

Mailing address

27TH Medical Group/SGHC
224 W D.L. Ingram Ave
Cannon AFB, NM 88103-5103
Phone (575) 904-3917

Other practice location 1

110 Central Ave
Pattonsburg, MO 64670-8300
Phone (660) 367-2218

Other practice location 2

514 N 39th St
Bethany, MO 64424-2706
Phone (660) 425-2211

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
I20220504001155 MO Practitioner - Family Practice 1254648132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison County Community Hospital DistrictGroup PAC ID 4587630926, shared by 5 NPIs, 21 clinicians

Practice addresses (Care Compare)

110 Central Ave
Pattonsburg, MO 64670-8300
Phone (660) 425-3154

16027 Locust St
Eagleville, MO 64442-7130
Phone (660) 867-5111

2600 Miller St
Bethany, MO 64424-2701

3202 Miller St
Bethany, MO 64424-2713
Phone (660) 425-3154

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2022013209MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison County Community Hospital District Family Medicine Current Accepting new patients
Harrison County Community Hospital District Family Medicine CurrentSince May 27, 2023 Accepting new patients
Harrison County Community Hospital District Current Accepting new patients

Locations

2600 Miller St
Bethany, MO 64424
Phone (660) 425-2211

3202 Miller St
Bethany, MO 64424
Phone (660) 425-3154

16027 Locust St
Eagleville, MO 64442
Phone (660) 425-0201

110 Central Ave
Pattonsburg, MO 64670
Phone (660) 367-2218

Organizations & group practices 3

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 7

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1043693104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27TH MEDICAL GROUP/SGHC",
            "address_2": "224 W D.L. INGRAM AVE",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035103",
            "telephone_number": "575-904-3917",
            "fax_number": "575-784-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 MILLER ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242713",
            "telephone_number": "660-425-3154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Pattonsburg",
            "state": "MO",
            "postal_code": "646708300",
            "country_code": "US",
            "telephone_number": "660-367-2218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 N 39th St",
            "address_purpose": "LOCATION",
            "city": "Bethany",
            "state": "MO",
            "postal_code": "644242706",
            "country_code": "US",
            "telephone_number": "660-425-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KIMBERLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2022013209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, MO

Sources for this page

Verify at the official NPI Registry.