Individual provider Active NPI

Alyssa Domenica Baker, PA-C

  • Physician Assistant
  • Redford, MI
National Provider Identifier
1134588254
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009211 Issued in MI
Practice address
9315 Telegraph Rd
Redford, MI 48239-1260
Phone
(313) 450-4500
NPI assigned
Feb 17, 2016
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X OA003748 PA
Medical Physician Assistant 363AM0700X MA058111 PA
Physician Assistant 363A00000X 5601009211 MI Primary

Addresses

Primary practice location

9315 Telegraph Rd
Redford, MI 48239-1260

Mailing address

3320 Vinsetta Blvd
Royal Oak, MI 48073-3382
Phone (313) 655-2391

Other practice location 1

34841 Veterans Plz
Wayne, MI 48184-1733
Phone (734) 728-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611002470 MI Practitioner - Physician Assistant 9638468952 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians
Lincoln Behavioral ServicesGroup PAC ID 7113816612, 23 clinicians

Practice addresses (Care Compare)

34841 Veterans PLZ
Wayne, MI 48184-1733
Phone (313) 292-7640

9315 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 450-4500

9329 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 937-9500

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as group
Quality
84.79
Promoting interoperability
89
Improvement activities
40
Cost
87.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601009211MIMDPhysician Assistant
MA058111PAMDMedical Physician Assistant
OA003748PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2019 Accepting new patients
Vital Health Management Medical CurrentSince Mar 17, 2024 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2019 Accepting new patients
Lincoln Behavioral Services CurrentSince Mar 2, 2020 Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

17950 Woodward Ave
Detroit, MI 48203
Phone (313) 401-0929

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

46591 Romeo Plank Rd
Ste 133
Macomb, MI 48044
Phone (586) 226-6161

9315 Telegraph Rd
Redford, MI 48239
Phone (313) 937-9500

21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000

Interoperability endpoints

  • Direct secure messaging: purepsychiatryofmichigan.alyssabaker@153418.advancedmd-direct.com
  • Direct secure messaging: vitalhealthmanagement.alyssabaker@157655.advancedmd-direct.com

Organizations & group practices 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1134588254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 VINSETTA BLVD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733382",
            "telephone_number": "313-655-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391260",
            "telephone_number": "313-450-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34841 Veterans Plz",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841733",
            "country_code": "US",
            "telephone_number": "734-728-3446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ALYSSA",
        "middle_name": "DOMENICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA003748",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058111",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.