NPIMap

Individual provider Active NPI

Jamie Leigh Baker, FNP

  • Family Nurse Practitioner
  • Madison, IN
National Provider Identifier
1124541545
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007371A Issued in IN
Practice address
1373 E Sr 62
Madison, IN 47250
Phone
(812) 801-0229
Fax
(812) 801-8705
NPI assigned
Jul 18, 2017
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007371A IN Primary

Addresses

Primary practice location

1373 E Sr 62
Madison, IN 47250

Mailing address

721 S Preston St
Louisville, KY 40203-2319

Other identifiers 4

IdentifierTypeStateIssuer
1104961OtherINANTHEM
7100495020MedicaidKY
300005484MedicaidIN
4980820OtherINAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170919002357 IN Practitioner - Nurse Practitioner 2062786759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluegrass Kidney Consultants PSCGroup PAC ID 0840357646, 19 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 444
New Albany, IN 47150-6809
Phone (502) 583-1799

630 N Broadway St
Kings Daughter Prof Building
Madison, IN 47250-3310
Phone (502) 583-1799

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton - Kings Daughters Health Inc CurrentSince Aug 21, 2017 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Aug 21, 2017 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

630 Broadway St
Madison, IN 47250
Phone (812) 265-0801

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1124541545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E SR 62",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "47250",
            "telephone_number": "812-801-0229",
            "fax_number": "812-801-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JAMIE",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007371A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1104961",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100495020",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300005484",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4980820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.