Mary Willow Baker, DNP
Individual provider Active NPI Nurse Practitioner · Live Oak, TX
NPI 1124889217 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1124889217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1149094 (TX)
- Practice address
- 12881 N Ih 35
Live Oak, TX 78233-2966 - Phone
- (210) 742-6555
- NPI assigned
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hillside Primary Care PLLC
Practice addresses (Care Compare)
12410 Toepperwein Rd
Toepperwein Live Oak
Live Oak, TX 78233-3230
Phone (210) 742-6555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20240913002994 | TX | Practitioner - Nurse Practitioner | 1557801701 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillside Primary Care PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Heal Well Primary Care PC | Current |
Accepting new patients | |
| Complete Care Partners LLC | Past |
Accepting new patients |
Locations
12881 N Interstate 35
Live Oak, TX 78233
Phone (210) 742-6552
12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425
12881 Toepperwein Rd
#I35
Live Oak, TX 78233
12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425
5000 Baptist Health Dr
Ste 117
Schertz, TX 78154
Phone (210) 626-8201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1149094 | TX | Yes |
Addresses
Primary practice location
12881 N Ih 35
Live Oak, TX 78233-2966
Mailing address
12881 N Ih 35
Live Oak, TX 78233-2966
Phone (210) 742-6555
Other names
- Mary Willow Seaberry
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. 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.