Kristen M Baker, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Gloversville, NY
NPI 1053085696 · NPPES record last updated Aug 6, 2021
Key facts
- NPI
- 1053085696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 348004 (NY)
- Practice address
- 99 E State St Ste 106
Gloversville, NY 12078-1293 - Phone
- (518) 773-5393
- NPI assigned
- Aug 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Peter'S Health Partners Medical Associates, P.C.
Practice addresses (Care Compare)
2546 Balltown Rd
Suite 300
Schenectady, NY 12309-1079
Phone (518) 377-8184
Hospital & facility affiliations
- St Marys Healthcare
- Nathan Littauer Hospital
- Ellis Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220426002848 | NY | Practitioner - Nurse Practitioner | 6305233131 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 348004 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Health Partners Medical Associates, P.C. | Current |
Accepting new patients | |
| St. Peter'S Health Partners Medical Associates, P.C. | Past | Accepting new patients |
Locations
425 New Scotland Ave
Albany, NY 12208
Phone (518) 525-6987
23 Arterial Plz
#30A
Gloversville, NY 12078
Phone (518) 773-2303
2546 Balltown Rd
Ste 300
Schenectady, NY 12309
Phone (518) 377-8184
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
Interoperability endpoints
- kbaker@caspc.medentdirect.com
- kbaker.nlh@hixny.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 348004 | NY | Yes |
Addresses
Primary practice location
99 E State St Ste 106
Gloversville, NY 12078-1293
Mailing address
4926 State Highway 29
Johnstown, NY 12095-4702
Phone (518) 428-0441
Other providers in Gloversville, NY
- Alexander Bagdovitz
- George Fredrick Bahr IV
- Billie Jo Baird
- Crystal M Baker
- Divya Baker
- Stephanie Bakyta
- Balanced Health Physical Therapy
- Clifford Keith Balch
- Sandra Ellan Baldwin
- Edward James Ballantine
All providers in Gloversville, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.