Shannon Nicole Baker, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Greenfield, MA
NPI 1104412535 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1104412535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN2298153 (MA)
- Practice address
- 102 Main St
Greenfield, MA 01301-3275 - Phone
- (413) 325-8500
- NPI assigned
- Dec 20, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Massachusetts Medical School, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center of Franklin County Incorporated
Practice addresses (Care Compare)
102 Main St
Greenfield, MA 01301-3275
Phone 4133258500109
Hospital & facility affiliations
- Amedisys Home Health Care
- Baystate Franklin Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20220111000971 | MA | Practitioner - Nurse Practitioner | 9830581420 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2298153 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Franklin County Incorporated | Current | Accepting new patients | |
| Community Health Center of Franklin County Incorporated | Current |
Accepting new patients | |
| Community Health Center of Franklin County Incorporated | Current |
Accepting new patients | |
| Community Health Center of Franklin County Incorporated | Past | Accepting new patients |
Locations
102 Main St
Greenfield, MA 01301
Phone (413) 325-8500
119 New Athol Rd
Orange, MA 01364
Phone (978) 249-9033
8 Burnham St
Turners Falls, MA 01376
Phone (413) 774-3751
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Critical Care Medicine Registered Nurse | 163WC0200X | RN2298153 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2298153 | MA | Yes |
Addresses
Primary practice location
102 Main St
Greenfield, MA 01301-3275
Mailing address
97 Locust St
Northampton, MA 01060-2054
Other practice location 1
575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2516
Other providers in Greenfield, MA
- Heather Marie Babcock
- Neil D Bach
- Bagley, Goodwin & Hrinda PC
- Peter F. Bagley
- Devin Bagshaw
- Michael Angel Baldanza
- Pamela Baldwin
- Julia Swados Balkin
- Michelina Balsavich
- Jessica Lovesta Banks
All providers in Greenfield, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 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.