Individual provider Active NPI

Kristie A Baker, M.D.

  • Internal Medicine Physician
  • Independence, MO
National Provider Identifier
1124051941
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
103472 Issued in MO
Practice address
19600 E 39TH St S
Independence, MO 64057-2301
Phone
(913) 222-9779
Fax
(816) 312-8340
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0427424 KS
Pediatrics Physician 208000000X 103472 MO
Internal Medicine Physician 207R00000X 0427424 KS
Internal Medicine Physician 207R00000X 103472 MO Primary

Addresses

Primary practice location

19600 E 39TH St S
Independence, MO 64057-2301

Mailing address

19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779

Other practice location 1

201 NW R D Mize Rd Ste 206
Blue Springs, MO 64014-2513
Phone (816) 655-5403

Other practice location 2

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-4758

Other practice location 3

201 NW RD Mize Rd.
Blue Springs, MO 64014-2513
Phone (816) 228-5900

Other names 1

  • Kristie A Rutledge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051115000725 KS Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1850310269 Reassigns benefits to 1 organization
I20140707000255 MO Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1850310269 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Pac Healthcare Services of Missouri IncGroup PAC ID 4587950589, 16 clinicians
Pandc Healthcare LLCGroup PAC ID 3779861109, 38 clinicians
Dunn Physician Services LLCGroup PAC ID 0345787578, 44 clinicians
Cass Regional Medical CenterGroup PAC ID 7517853781, 44 clinicians

Practice addresses (Care Compare)

111 NW Mock Ave
St Mary's Manor
Blue Springs, MO 64014-2503
Phone (816) 228-5655

19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000

2800 E Rock Haven Rd
Harrisonville, MO 64701-4411
Phone (816) 380-5888

3980 E Jackson Dr
Villages of Jackson Creek
Independence, MO 64057-2205
Phone (816) 795-1433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as group
Quality
61.06
Promoting interoperability
99
Improvement activities
40
Cost
74.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0427424KSMDPediatrics Physician
103472MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Regional Medical Center CurrentSince Mar 1, 2023 Accepting new patients
CS Pacs 3 Midwest LLC Internal Medicine CurrentSince Dec 16, 2024 Accepting new patients
Inpatient Consultants of Kansas PA Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Inpatient Consultants of Kansas PA Internal Medicine CurrentSince Aug 15, 2014 Accepting new patients
Cass Regional Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Inpatient Consultants of Kansas PA Internal Medicine CurrentSince Aug 15, 2014 Accepting new patients
P&C Healthcare LLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Midwest Division - LRHC LLC CurrentSince Apr 30, 2023 Accepting new patients
Ray County Memorial Hospital CurrentSince Feb 1, 2023 Accepting new patients
Dunn Physician Services, LLC CurrentSince Feb 15, 2025 Accepting new patients
Centerpoint Medical Center of Independence, LLC Past Accepting new patients
P & C Consultant Services Past Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

10540 Marty St
Ste 100
Overland Park, KS 66212

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900

201 NW R D Mize Rd
Ste 206
Blue Springs, MO 64014
Phone (816) 655-5403

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

3980 E Jackson Dr
Independence, MO 64057
Phone (816) 743-4378

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

1210 W Ashland St
Nevada, MO 64772
Phone (417) 667-5064

904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1124051941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19600 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572301",
            "telephone_number": "913-222-9779",
            "fax_number": "816-312-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19600 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572301",
            "telephone_number": "913-222-9779",
            "fax_number": "816-312-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 NW R D Mize Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142513",
            "country_code": "US",
            "telephone_number": "816-655-5403",
            "fax_number": "816-655-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-943-4758",
            "fax_number": "816-943-4757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 NW RD Mize Rd.",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142513",
            "country_code": "US",
            "telephone_number": "816-228-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KRISTIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0427424",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "103472",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0427424",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "103472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "RUTLEDGE",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.