Stephen Nicholas Baker, PA-C
Individual provider Active NPI Physician Assistant · Lexington, KY
NPI 1063273142 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1063273142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- TC098 (KY)
- Practice address
- 120 Prosperous PL Ste 102
Lexington, KY 40509-1866 - Phone
- (859) 264-1815
- Fax
- (859) 264-1820
- NPI assigned
- Jan 17, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Lincoln Memorial University Medical Department, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Sleep and Rehab, PLLC
Practice addresses (Care Compare)
150 N Eagle Creek Dr
FL 2
Lexington, KY 40509-1805
Phone (859) 967-5309
Hospital & facility affiliations
- Saint Joseph East
- University of Kentucky Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20240217000420 | KY | Practitioner - Physician Assistant | 2365886348 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC098 | KY | Yes |
Addresses
Primary practice location
120 Prosperous PL Ste 102
Lexington, KY 40509-1866
Mailing address
120 Prosperous PL Ste 102
Lexington, KY 40509-1866
Phone (592) 264-1815
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100954480 | Medicaid | KY |
Other providers in Lexington, KY
- Kenneth Starling Baker III
- Makayla Frances Baker
- Nichole Elaine Baker
- Robert Steven Baker
- Stefanie Brock Baker
- Taylor Baker
- Tayton Douglas Baker
- Thomas Jordan Baker
- Worth Bradley Baker
- Balanced Behavioral Health Ky LLC
All providers in Lexington, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. 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.