Active NPI
Thomas Michael Baker, APRN-BC
- Acute Care Nurse Practitioner
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 110763
- Practice address
- 6901 N 72ND St
Omaha, NE 68122-1709 - Phone
- (402) 616-1463
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 110763 | NE | Primary |
Addresses
Primary practice location
6901 N 72ND St
Omaha, NE 68122-1709
Mailing address
17655 Nina Street
Omaha, NE 68130-4253
Phone (402) 496-7441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080602000021 | NE | Practitioner - Nurse Practitioner | 8325118490 | Reassigns benefits to 2 organizations |
| I20080909000038 | IA | Practitioner - Nurse Practitioner | 8325118490 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cass County Memorial Hospital
Practice addresses (Care Compare)
1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250
Hospital & facility affiliations
- Cass County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.8 of 100
- Quality
- 85.99
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110763 | NE | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kakish MD PC | Current | Accepting new patients | |
| Cass County Memorial Hospital | Current | Accepting new patients | |
| Cass County Memorial Hospital | Current | Accepting new patients | |
| Cass County Memorial Hospital | Current | Accepting new patients |
Locations
1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850
7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880
11711 Arbor St
Ste 240
Omaha, NE 68144
Phone (308) 962-0146
14440 F St
Ste 121
Omaha, NE 68137
Phone (402) 933-4450
Organizations & group practices 5
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.
-
- Community/Retail Pharmacy
- Atlantic, IA
- NPI 1023755097
Hospital & facility affiliations 1
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": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1093735722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17655 NINA STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304253",
"telephone_number": "402-496-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 N 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221709",
"telephone_number": "402-616-1463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NE",
"license": "110763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.