Individual provider Active NPI

Sean Kelly Baker, CNP

  • Family Medicine Physician
  • Lindsay, OK
National Provider Identifier
1093377095
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
78962 Issued in OK
Practice address
216 S Main St
Lindsay, OK 73052-5634
Phone
(405) 756-1414
Fax
(405) 756-1162
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 78962 OK Primary

Addresses

Primary practice location

216 S Main St
Lindsay, OK 73052-5634

Mailing address

217 S Main St
Lindsay, OK 73052-5633
Phone (405) 756-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802000464 OK Practitioner - Nurse Practitioner 2264768944 Reassigns benefits to 2 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
Healthcare Express, LLPGroup PAC ID 9739131442, 68 clinicians
South Central Medical and Resource Center IncGroup PAC ID 9032200084, 17 clinicians

Practice addresses (Care Compare)

1701 S Douglas Blvd
Midwest City, OK 73130-6221
Phone (405) 302-8999

216 S Main St
Lindsay, OK 73052-5634
Phone (405) 756-1414

Hospital & facility affiliations

  • Lifeline Home Health Care, Inc Home health agency, Chickasha, OK, CCN 377524
  • Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054
  • Norman Regional Hospital, Norman, OK, CCN 370008

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
71.48
Promoting interoperability
100
Improvement activities
40
Cost
75.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78962OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Medical and Resource Center Inc. Single Specialty CurrentSince Jul 8, 2019 Accepting new patients
Healthcare Express, LLP CurrentSince Jul 1, 2022 Accepting new patients
Healthcare Express, LLP Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Grady Memorial Hospital Past Accepting new patients

Locations

902 W Chickasha Ave
Chickasha, OK 73018

2222 W Iowa Ave
Chickasha, OK 73018

2300 E 2nd St
Edmond, OK 73034

217 S Main St
Lindsay, OK 73052
Phone (405) 956-3356

102 S Main St
Lindsay, OK 73052

216 S Main St
Lindsay, OK 73052
Phone (405) 756-4303

504 Williams
Maysville, OK 73057
Phone (405) 867-4404

1701 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 302-8999

200 Melville Dr
Pauls Valley, OK 73075
Phone (405) 238-5555

109 E Kirby St
Washington, OK 73093
Phone (405) 288-1057

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1093377095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S MAIN ST",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "730525633",
            "telephone_number": "405-756-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "730525634",
            "telephone_number": "405-756-1414",
            "fax_number": "405-756-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SEAN",
        "middle_name": "KELLY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "78962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindsay, OK

Sources for this page

Verify at the official NPI Registry.