Benjamin Baker, PA
Individual provider Active NPI Physician Assistant · Burlington, VT
NPI 1134533128 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1134533128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 055.0031602 (OR)
- Practice address
- 617 Riverside Ave
Burlington, VT 05401-1601 - Phone
- (802) 864-0693
- Fax
- (802) 860-4324
- NPI assigned
- Jun 17, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of Burlington Inc
Practice addresses (Care Compare)
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
Hospital & facility affiliations
- Uvmhn Home Health and Hospice
- Univ. of Vermont - Fletcher Allen Health Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- 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 |
|---|---|---|---|---|
| I20220927002273 | VT | Practitioner - Physician Assistant | 5799907101 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055.0031602 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Burlington Inc | Current |
Accepting new patients | |
| University of Vermont Medical Center Inc | Past | Accepting new patients | |
| Sky Lakes Medical Center Inc | Past | Accepting new patients | |
| Community Health Centers of Burlington Inc | Past | Accepting new patients |
Locations
617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158
179 Pearl St
Burlington, VT 05401
Phone (802) 652-1080
617 Riverside Ave
Ste 200
Burlington, VT 05401
184 S Winooski Ave
Burlington, VT 05401
Phone (802) 860-4310
789 Pine St
Burlington, VT 05401
Phone (802) 264-1052
87 Main St
Essex Junction, VT 05452
Phone (802) 404-1350
32 Malletts Bay Ave
Ste C
Winooski, VT 05404
32 Malletts Bay Ave
Winooski, VT 05404
Phone (802) 655-4422
Interoperability endpoints
- benjamin.baker.p1@direct.chcb.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055.0031602 | OR | Yes |
Addresses
Primary practice location
617 Riverside Ave
Burlington, VT 05401-1601
Mailing address
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-0693
Other practice location 1
2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6733
Other practice location 2
789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693
Other providers in Burlington, VT
- Cassandra Badeau
- Jessica Badlam
- John Baekey
- Diana Bailey
- Daniel Bak
- Bridget Baker
- Jeannette Elisabeth Baker
- Jennifer Baker
- Jonathan Harold Baker
- Lisa Deuel Baker
All providers in Burlington, VT · Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 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.