NPIMap

Individual provider Active NPI

Dustin P Baker, APRN, FNP-C

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1144893579
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79721-081 Issued in KS
Practice address
10787 Nall Ave
Overland Park, KS 66211-1375
Phone
(913) 588-0000
NPI assigned
Jul 22, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A164156 IA
Family Nurse Practitioner 363LF0000X 53-79721-081 KS Primary

Addresses

Primary practice location

10787 Nall Ave
Overland Park, KS 66211-1375

Mailing address

5400 Johnson Dr # 344
Mission, KS 66205-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20211008001766 KS Practitioner - Nurse Practitioner 9133527955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5400 Johnson Dr
Suite 344
Mission, KS 66205-2911
Phone (913) 356-1800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A164156IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallgrass Primary Care & House Calls LLC Family CurrentSince Jul 14, 2021 Accepting new patients

Locations

5400 Johnson Dr
Mission, KS 66205
Phone (913) 356-1800

Interoperability endpoints

  • Direct secure messaging: dustin.baker.1@24750.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24750/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 10

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1144893579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 JOHNSON DR # 344",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10787 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111375",
            "telephone_number": "913-588-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DUSTIN",
        "middle_name": "P",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A164156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79721-081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.